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    OpenPayerNPI Medicare & MedicaidNorthern Human Services
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    Northern Human Services — Billing Profile & Reimbursement Data

    NPI 1427182286 · Center Conway, NH · Early Intervention Provider Agency

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    Northern Human Services is a early intervention provider agency provider located in Center Conway, New Hampshire. This profile covers 0 Medicare and 11 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
    OrganizationNorthern Human Services
    Address626 Eastman Rd Ste C
    CityCenter Conway
    StateNH
    ZIP03813
    TaxonomyEarly Intervention Provider Agency
    NPI EnumeratedMarch 15, 2007

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

    Payer SourceTotal Paid
    Medicaid$172.8M
    Medicare$0

    Key Findings

    NORTHERN HUMAN SERVICES is effectively a Medicaid-focused provider with no Medicare billing on file; lifetime Medicaid revenue is $172.8M while Medicare revenue is recorded as none, indicating the organization operates almost entirely within the Medicaid ecosystem rather than serving fee-for-service Medicare beneficiaries. This payer concentration suggests organizational workflows, billing systems, and service contracts are optimized for Medicaid program rules and waivers rather than Medicare billing processes.

    Revenue concentration is highly focused: the top three Medicaid codes by revenue account for 90.1% of the provider’s total Medicaid revenue, demonstrating a narrow set of service lines drive the vast majority of cashflow. This level of concentration elevates operational and payer-risk tied to policy or reimbursement changes affecting those specific codes.

    T1020 is the single largest revenue driver, producing $94M (54.4% of Medicaid revenue) from 427.2K claims and ranking #3 of 41 providers in-state at the 95th percentile; the code description (personal care services, per diem, part of individualized plan of treatment) and high volume indicate the provider operates a large-scale personal care/home and community-based services program focused on sustained daily support. That combination of very high volume and top-state ranking signals the organization is a major regional provider of per-diem personal care services.

    T2021 (Day habilitation, waiver; per 15 minutes) is the second major revenue source, generating $38.3M (22.2% of Medicaid revenue) from 294.9K claims and also ranking #3 in-state at the 95th percentile. This mix—heavy utilization of both personal care per-diem services (T1020) and day habilitation (T2021)—is consistent with a service model centered on community habilitation and long-term supportive care for individuals with developmental or functional needs.

    T2025 (Waiver services; NOS) contributes $23.5M (13.6% of Medicaid revenue) from 25.4K claims and ranks #5 of 14 providers in-state (69th percentile). While this code adds meaningful revenue, its lower percentile and rank relative to T1020 and T2021 suggest the provider’s competitive advantage is stronger in delivered direct support and day habilitation services than in miscellaneous waiver service billing.

    Other Medicaid codes such as T2022, T1024, and T2023 collectively represent smaller, supplemental revenue streams (e.g., case management and integrated specialty-team encounters) and rank in mid to upper state percentiles but are individually under 4% of total Medicaid revenue. These supporting services indicate the organization offers a suite of coordinated care activities to complement its high-volume personal care and habilitation operations, reinforcing a vertically integrated Medicaid waiver service model.

    Competitive standing within New Hampshire is strong for the top two codes: ranking #3 and at the 95th percentile for both T1020 and T2021 positions NORTHERN HUMAN SERVICES as a leading in-state provider for those service lines. For several other codes the provider sits in more typical percentiles (40th–77th), indicating it is a major player in a few core services while maintaining a normal market presence for ancillary activities.

    The provider has a long tenure in the NPI registry, enumerated since 2007-03-15 (~19 years ago), which aligns with the scale and sustained billing patterns observed. That longevity supports institutional experience managing Medicaid waiver programs and likely contributes to its high-volume position for key service codes.

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1020Personal 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…427,210$220$94M
    T2021Day habilitation, waiver; per 15 minutes294,930$130$38.3M
    T2025Waiver services; not otherwise specified (nos)25,400$920$23.5M
    T2022Case management, per month27,060$240$6.5M
    T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter18,390$220$4M
    T2023Targeted case management; per month10,100$230$2.3M
    H2015Comprehensive community support services, per 15 minutes25,100$70$1.9M
    H2023Supported employment, per 15 minutes14,670$100$1.4M
    T1005Respite care services, up to 15 minutes9,660$90$869.2K
    H2032Activity therapy, per 15 minutes380$170$63K

    Showing 1–10 of 11

    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

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1020Personal 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…34014,020$330$32.2M
    T2025Waiver services; not otherwise specified (nos)51020,960$1,140$26.7M
    T2021Day habilitation, waiver; per 15 minutes34011,650$170$12.7M
    T2022Case management, per month6204,510$240$3.5M
    T2023Targeted case management; per month71010,730$230$3.2M
    H2023Supported employment, per 15 minutes123011,450$120$2.3M
    T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter22010,250$240$2.2M
    T1005Respite care services, up to 15 minutes91018,880$90$1.6M
    H2015Comprehensive community support services, per 15 minutes73010,280$90$1.5M
    T1021Home health aide or certified nurse assistant, per visit12109,110$30$242.4K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Northern Human Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northern Human ServicesNHMental Health Clinic/Center (Including Community Mental Health Center)$0$64.8M
    NPI 1508975582——$97.7K$0
    Dawn HolemonMOPsychiatry Physician$38.5K$51.7K
    Donna ComireNHPsychiatric/Mental Health Nurse Practitioner$88.2K$0
    Paul LidstromNHPsychiatry Physician$63.6K$0
    Robert MurrayNHPsychiatry Physician$53.6K$0
    Laurie BrodeurNHClinical Psychologist$9.6K$0
    Michele AuthierNHClinical Social Worker$2K$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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Northern Human Services — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire