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.

Behavioral Health And Developmental Services Of Strafford County, Inc (NPI 1386703304)

Field	Value
Entity Type	Organization
Organization	Behavioral Health And Developmental Services Of Strafford County, Inc
Address	113 Crosby Rd Ste 1
City	Dover
State	NH
ZIP	03820
Taxonomy	Case Management Agency
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$169.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all reported lifetime revenue is Medicaid‑based, totaling $169.8M. The absence of Medicare activity indicates operations are focused on Medicaid‑funded long‑term services and supports rather than fee‑for‑service medical care for Medicare beneficiaries.

Revenue is extremely concentrated in a very small set of Medicaid codes: the top three codes (T1020, T2021, T2025) together account for 93.0% of the provider's total Medicaid revenue. Individually those codes generate $93.2M (T1020, 54.9%), $35.5M (T2021, 20.9%), and $29.2M (T2025, 17.2%), making them the primary drivers of financial scale for this entity.

The code mix points to a business model centered on home/community waiver and habilitation services rather than traditional clinical interventions: T1020 is personal care services (per diem), T2021 is day habilitation (per 15 minutes), and T2025 is waiver services NOS. Coupled with the provider's Case Management Agency taxonomy, the mix suggests operations organized around delivering and coordinating Medicaid waiver supports and day habilitation for developmentally disabled populations.

On scale for T1020 this provider is a major in‑state player: T1020 shows 336.4K claims at $277 avg paid/claim generating $93.2M and the provider ranks #5 of 41 in the state (90th percentile). The combination of very high claim volume and a top‑5 ranking indicates market leadership in personal care, explaining the single largest share of its Medicaid revenue.

T2021 also contributes substantial scale but is more typical versus the state peer set: 227.7K claims at $156 avg paid/claim generate $35.5M and the provider ranks #6 of 39 (87th percentile). This rank and the description “typical, unremarkable volume” indicate the provider participates strongly in day habilitation but is not uniquely dominant relative to other in‑state organizations.

T2025 is notable for high per‑claim value even though the provider's statewide standing is midpack: 21.9K claims at $1331 avg paid/claim produce $29.2M and the provider ranks #7 of 14 (54th percentile). The high avg paid/claim for T2025 indicates these are higher‑value waiver encounters, but the rank suggests several other providers also supply similar waiver services in the state.

Beyond the top three, the remainder of billed codes represent a small share of revenue: T2022 (3.4%), T1005 (1.6%), and multiple codes each at or below 0.8% of Medicaid revenue. Notably, T1005 (respite care) shows a strong in‑state position (rank #2 of 13, 92th percentile) despite contributing only $2.7M (1.6%), signalling that the provider has pockets of competitive strength outside its three dominant codes.

The provider has an established operational history, with its NPI enumerated on 2006-12-06 (~20 years ago). This multi‑decade presence, combined with heavy reliance on a concentrated set of Medicaid waiver and habilitation codes, characterizes it as a long‑standing, waiver‑focused organization whose revenue profile is sensitive to Medicaid policy and authorization patterns for those specific codes.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	336,380	$280	$93.2M
T2021	Day habilitation, waiver; per 15 minutes	227,720	$160	$35.5M
T2025	Waiver services; not otherwise specified (nos)	21,950	$1,330	$29.2M
T2022	Case management, per month	22,470	$250	$5.7M
T1005	Respite care services, up to 15 minutes	36,320	$70	$2.7M
T1016	Case management, each 15 minutes	28,170	$50	$1.4M
H2015	Comprehensive community support services, per 15 minutes	9,780	$100	$977.8K
T2023	Targeted case management; per month	4,290	$220	$947.9K
H2032	Activity therapy, per 15 minutes	530	$220	$114K
H2023	Supported employment, per 15 minutes	240	$90	$21.2K

Showing 1–10 of 13

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

Behavioral Health And Developmental Services Of Strafford County, Inc — 0 of 12 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	5	40	14,020	$330	$32.2M
T2025	Waiver services; not otherwise specified (nos)	7	10	20,960	$1,140	$26.7M
T2021	Day habilitation, waiver; per 15 minutes	6	40	11,650	$170	$12.7M
T1016	Case management, each 15 minutes	18	30	35,170	$170	$12.5M
H2019	Therapeutic behavioral services, per 15 minutes	29	30	3,880	$90	$4.4M
T2022	Case management, per month	9	20	4,510	$240	$3.5M
T2023	Targeted case management; per month	11	10	10,730	$230	$3.2M
H2023	Supported employment, per 15 minutes	27	30	11,450	$120	$2.3M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	14	20	10,250	$240	$2.2M
T1005	Respite care services, up to 15 minutes	2	10	18,880	$90	$1.6M

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Behavioral Health And Developmental Services Of Strafford County, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Living Innovations Support Services, LLC	NH	Developmentally Disabled Services Day Training Agency	$0	$147.3M
Living Innovations Support Services, LLC	NH	Developmentally Disabled Services Day Training Agency	$0	$129.3M
Wentworth Douglass Hospital	NH	General Acute Care Hospital	$0	$30.6M
Work Opportunities Unlimited Contracts, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$17.9M
Living Innovations Support Services, LLC	NH	Community/Behavioral Health Agency	$0	$11.2M
Work Opportunities Unlimited Contracts, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Behavioral Health And Developmental Services Of Strafford County, Inc	NH	Early Intervention Provider Agency	$0	$5M
Seacoast Emergency Physicians, PC	NH	Emergency Medical Services (Emergency Medicine) Physician	$0	$4.5M
Southeastern New Hampshire Alcohol And Drug Abuse Services	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.7M
Reach For The Top Therapy Services	NH	Occupational Therapist	$0	$2.7M

Behavioral Health And Developmental Services Of Strafford County, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References