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.

Exeter Hospital Inc (NPI 1437158433)

Key Findings

Field	Value
Entity Type	Organization
Organization	Exeter Hospital Inc
Address	5 Alumni Drive
City	Exeter
State	NH
ZIP	03833
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 20, 2005

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

Payer mix and scale: EXETER HOSPITAL INC effectively operates as a Medicaid-centric provider — there is no Medicare billing on file while total Medicaid revenue is $12.5M. This makes the hospital a single-payer (Medicaid) revenue profile at the claim level in the available data, which has implications for reimbursement mix and payer negotiation leverage relative to multi‑payer peers.

Top-revenue concentration: Three CPT/HCPCS codes drive a large share of Medicaid revenue — the precomputed top-3 codes account for 40.6% of total Medicaid revenue. Those top codes are 99284 ($2M revenue, 20.1% of this provider's total Medicaid revenue), 74177 ($1.2M revenue, 12.4% of this provider's total Medicaid revenue), and 99283 ($808.1K revenue, 8.1% of this provider's total Medicaid revenue), indicating concentrated dependence on a few high-volume service lines.

Emergency department as a core service line: The hospital’s highest single-code revenue is 99284 (12.5K claims, $161 avg paid/claim, $2M revenue) and other ED E/M codes appear prominently (99283: 7K claims, $115 avg paid/claim, $808.1K; 99285: 3.1K claims, $246 avg paid/claim, $757.4K). The presence of multiple E/M levels and an observation code G0378 (1.2K claims, $185 avg paid/claim, $224.8K) portrays an ED-centered acute care operation with throughput across low-to-high acuity visits.

Imaging and diagnostic revenue weight: Advanced imaging is a material revenue driver, led by 74177 (2.1K claims, $590 avg paid/claim, $1.2M revenue) and supported by head CT 70450 (1.9K claims, $176 avg paid/claim, $342.3K) and thorax CT 71260 (409 claims, $326 avg paid/claim, $133.3K). The relatively high avg paid/claim for CTs emphasizes that imaging contributes meaningfully to overall Medicaid payments and complements the ED case mix.

Robust rehabilitation/therapy volumes: Physical therapy codes show especially high utilization — 97530 (15.4K claims, $49 avg paid/claim, $753.7K revenue) and 97110 (18.8K claims, $26 avg paid/claim, $487.5K) and 97140 (16.4K claims, $23 avg paid/claim, $377.4K) together represent a substantial outpatient therapy footprint. Statewide percentiles for these codes are high (97530 at 92th percentile; 97110 at 95th percentile; 97140 at 96th percentile), signaling above-typical therapy volume relative to in-state peers and a likely operational focus on rehabilitative services.

Localized clinical leadership in endoscopy: The therapeutic colonoscopy code 45385 (455 claims, $330 avg paid/claim, $150.2K revenue) ranks #1 of 12 providers in-state (100th percentile; notably above typical state volume), indicating a clear competitive advantage in interventional endoscopy within the state market. This single-code outlier suggests a specialized service line that draws cases regionally or concentrates procedural volume relative to nearby hospitals.

Infusion and oncology/IV services present but not dominant: Multiple infusion and chemo codes appear across the top codes (96361 $406.2K, 96413 $261.7K, 96375 $183.1K, 96365 $158.9K, 96360 $155.4K), showing an established infusion/acute care treatment capability. Ranks for chemotherapy and infusion codes are moderate (for example, 96413 ranks #4 of 16 providers in-state, 80th percentile; typical, unremarkable volume for this code), indicating these services are an important but not uniquely dominant revenue stream.

Tenure and operational implications: The provider’s NPI was enumerated 2005-07-20 (~21 years ago), reflecting long-standing local presence. Combined with the concentrated Medicaid revenue base and the mix of ED, imaging, therapy, endoscopy, and infusion services, the profile is consistent with an established general acute care hospital that relies heavily on Medicaid volume and maintains particular competitive strengths in therapy and therapeutic endoscopy within New Hampshire.

Medicaid: Complete Services Breakdown

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

179 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	12,470	$160	$2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,090	$590	$1.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7,030	$120	$808.1K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3,080	$250	$757.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	15,380	$50	$753.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	18,750	$30	$487.5K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	4,670	$90	$406.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	16,410	$20	$377.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1,950	$180	$342.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	6,790	$50	$332.7K

Showing 1–10 of 179

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

Exeter Hospital Inc — 2 of 25 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

179 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	26	60	1,820	$150	$756.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	12	80	2,220	$120	$745.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	21	70	2,540	$110	$733.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	14	50	1,150	$230	$480.4K
G0378	Hospital observation service, per hour	13	20	1,390	$190	$406.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	7	10	450	$120	$403.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	18	50	1,250	$90	$224K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	16	50	2,010	$80	$209.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	31	130	2,640	$40	$208.1K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	4	10	70	$560	$204.3K

Showing 1–10 of 179

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Core Physicians, LLC	NH	Family Medicine Physician	$0	$5.8M
County Of Rockingham	NH	Nursing Facility/Intermediate Care Facility	$0	$2.6M
Seacoast Pathology Inc	NH	Clinical Medical Laboratory	$1.4M	$994.8K
Emergency Medicine Physicians Of Rockingham County, LLC	NH	Emergency Medicine Physician	$0	$1.4M
Seacoast Youth Services	NH	Adolescent and Children Mental Health Clinic/Center	$0	$1.2M
The Exeter Cooperative School District	NH	Local Education Agency (LEA)	$0	$894.9K
Exeter School District	NH	Local Education Agency (LEA)	$0	$750.7K
Kenneth Brown	NH	Psychiatry Physician	$477.7K	$0
Heidi Mullen	NH	Dermatology Physician	$464.1K	$0
Rockingham Visiting Nurse Association And Hospice	NH	Home Health Agency	$0	$428.4K

Exeter Hospital Inc — Billing Profile & Reimbursement Data

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Exeter Hospital 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

Related Providers

Nearby Providers

Frequently Asked Questions

References