Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Hampshire (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Catholic Medical Center (NPI 1386672319)

Catholic Medical Center is a cardiovascular disease physician provider located in Manchester, New Hampshire. This profile covers 0 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Catholic Medical Center
Address	100 Mcgregor St
City	Manchester
State	NH
ZIP	03102
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 29, 2006

Payer Source	Total Paid
Medicaid	$489.4K
Medicare	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	10,610	$30	$265.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	43,250	$1	$173K
99214	The 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…	1,080	$30	$29.3K
99213	The 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…	550	$20	$10.9K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	260	$20	$4.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	180	$10	$2.5K
93248	After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, the provider completes a review and…	170	$10	$1K
93297	The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30…	110	$10	$670
93018	The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…	120	$10	$590
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	40	$10	$490

Showing 1–10 of 17

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.

Claims Volume vs. New Hampshire Distribution

Catholic Medical Center — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The 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…	167	420	480	$50	$223.9K
99213	The 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…	179	400	350	$30	$140.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2	40	280	$80	$107.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	35	50	490	$20	$65.9K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	7	10	100	$260	$55.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3	50	650	$1	$26.7K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	9	10	300	$30	$25.7K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	6	10	150	$50	$18.9K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	6	10	60	$10	$9K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	19	30	240	$1	$2.3K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catholic Medical Center	NH	General Acute Care Hospital	$0	$19.8M
Appledore Medical Group, Inc	NH	Internal Medicine Physician	$0	$1.4M
Catholic Healthcare Trust	NH	Federally Qualified Health Center (FQHC)	$0	$1.3M
Todd Daugherty	NH	Rheumatology Physician	$1.1M	$0
Ayobami Ojutalayo	MA	Family Medicine Physician	$521.7K	$1.6K
Catholic Medical Center	NH	General Acute Care Hospital	$0	$472.3K
Cmc D/b/a Urgent Care At Bedford Medical Park	NH	Urgent Care Clinic/Center	$0	$306.3K
Rajesh Mohan	NJ	Cardiovascular Disease Physician	$301.9K	$0
Dingxin Qin	NH	Clinical Cardiac Electrophysiology Physician	$221.1K	$0
Frank Jung	WI	Cardiovascular Disease Physician	$215.5K	$360

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moore Center Services, Inc.	NH	Early Intervention Provider Agency	$0	$373.9M
Manchester School District	NH	Local Education Agency (LEA)	$0	$4M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$3.1M
Paul Degregorio	NH	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Metro Treatment Of New Hampshire LP	NH	Methadone Clinic	$148.8K	$1.6M
Anthony Correnti	NH	Ophthalmology Physician	$1.5M	$0
Home For Butterflies, LLC	NH	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.4M
Nancy Efferson-bonachea	NH	Ophthalmology Physician	$790.7K	$0
Nh Eye Associates PLLC	NH	Ophthalmology Physician	$0	$739K
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$480.4K

Catholic Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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