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    OpenPayerNPI Medicare & MedicaidSobriety Centers Of New Hampshire
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    Sobriety Centers Of New Hampshire — Billing Profile & Reimbursement Data

    NPI 1376088724 · Antrim, NH · Substance Abuse Rehabilitation Facility

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    Sobriety Centers Of New Hampshire is a substance abuse rehabilitation facility provider located in Antrim, New Hampshire. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSobriety Centers Of New Hampshire
    Address55 Main Street
    CityAntrim
    StateNH
    ZIP03440
    TaxonomySubstance Abuse Rehabilitation Facility
    NPI EnumeratedDecember 21, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$15.1M
    Medicare$0

    Key Findings

    SOBRIETY CENTERS OF NEW HAMPSHIRE appears to operate primarily as a substance abuse residential treatment facility: its top Medicaid codes are H0018 (short-term residential), H2036 (treatment program per diem), and H0010 (sub-acute detoxification inpatient), which together account for 97.3% of the provider's total Medicaid revenue and point to a business model centered on residential and inpatient addiction services rather than outpatient primary care. The code mix — dominated by per-diem residential and detoxification services — indicates the facility’s core service lines are non-hospital residential treatment, per-diem addiction programming, and residential detox.

    The provider’s Medicaid revenue is $15.1M while there is no Medicare billing on file, so the organization is effectively single-payer (Medicaid) in scope for the available claims data; analysts should treat Medicaid as the primary revenue source and note there is no Medicare presence to compare against.

    Revenue concentration is extremely high: the top three Medicaid codes (H0018, H2036, H0010) represent 97.3% of Medicaid revenue, signaling that the business’s financial performance is heavily dependent on a small set of residential and detoxification services. This level of concentration suggests limited revenue diversification within Medicaid-funded services.

    H0018 is the overwhelmingly dominant revenue driver: 60.1K claims generated $11M, or 72.9% of the provider’s Medicaid revenue, and the provider ranks #2 of 14 in-state for H0018 at the 92th percentile; this is described as notably above typical state volume and indicates the organization is one of the leading residential treatment providers in New Hampshire for this service line.

    H2036 and H0010 are meaningful secondary contributors: H2036 accounts for $2M (13.6% of Medicaid revenue) and ranks #7 of 17 providers in-state (63th percentile), while H0010 contributes $1.6M (10.9% of Medicaid revenue) and ranks #4 of 7 in-state (50th percentile). Both ranks are characterized as typical or unremarkable relative to peers, implying SOBRIETY CENTERS is a modest but active participant in per-diem treatment and detoxification compared with other state providers.

    Other billed codes such as H0015, 99214, H0004, 99213, and H0001 make up very small shares individually (each under 2% of Medicaid revenue) and rank in the middle or lower percentiles statewide, reinforcing that clinical counseling, outpatient E/M visits, and assessment services are ancillary to the facility’s residential-focused operations rather than primary revenue lines.

    The provider has an NPI enumerated approximately 2016-12-21 (~10 years ago), indicating roughly a decade of enrollment and operational tenure; combined with its high-volume H0018 activity, this suggests multi-year establishment in the state’s residential addiction treatment market.

    From a competitive standing perspective within New Hampshire, the provider is a leading specialist in short-term residential treatment (H0018) given its #2 rank and 92th percentile, while it is a middle-tier or typical competitor on per-diem treatment (H2036) and detoxification (H0010). Given the absence of Medicare billing, evaluations of market position should focus on Medicaid-funded residential addiction services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem60,090$180$11M
    H2036Alcohol and/or other drug treatment program, per diem9,880$210$2M
    H0010Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)3,970$410$1.6M
    H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…2,090$110$235.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…960$80$78.5K
    H0004Behavioral health counseling and therapy, per 15 minutes770$80$58.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…350$60$22.3K
    H0001Alcohol and/or drug assessment100$130$13.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Hampshire median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem2109,810$190$4M
    H2036Alcohol and/or other drug treatment program, per diem7205,280$230$3.6M
    H0010Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)4103,970$400$1.7M
    H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…930500$110$455.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…178420480$50$223.9K
    H0004Behavioral health counseling and therapy, per 15 minutes40701,260$80$202.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…198400350$30$140.6K
    H0001Alcohol and/or drug assessment2740180$130$71.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sobriety Centers Of New Hampshire, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sobriety Centers Of New HampshireNHSubstance Use Disorder Rehabilitation Clinic/Center$0$1.7M

    Nearby Providers

    Other providers in the same ZIP code as Sobriety Centers Of New Hampshire, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monadnock Community HospitalNHRural Health Clinic/Center$0$352.8K
    Jennifer CivitellaNHFamily Medicine Physician$670$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Hampshire Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Sobriety Centers Of New Hampshire — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire