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.

Cheshire Health Services Inc (NPI 1447652615)

Cheshire Health Services Inc is a clinic/center provider located in Keene, New Hampshire. This profile covers 0 Medicare and 10 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	Cheshire Health Services Inc
Address	149 Emerald St Ste L
City	Keene
State	NH
ZIP	03431
Taxonomy	Clinic/Center
NPI Enumerated	September 19, 2014

Payer Source	Total Paid
Medicaid	$382.2K
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	5,490	$40	$219.5K
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…	4,420	$30	$132.5K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	1,520	$10	$13.7K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	300	$40	$12.6K
87081	The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism.	330	$1	$1.3K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	410	$1	$820
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	90	$10	$700
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	40	$20	$640
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$30	$360
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	20	$1	$40

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

Cheshire Health Services Inc — 0 of 10 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

10 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…	72	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…	83	400	350	$30	$140.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	56	70	1,030	$20	$76.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	102	110	170	$20	$26.2K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	12	20	350	$40	$25.6K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	20	30	580	$20	$20.6K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	16	90	290	$10	$6.5K
87081	The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism.	18	30	410	$1	$5K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	13	30	180	$1	$870
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	4	10	20	$1	$120

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cheshire Medical Center	NH	Family Medicine Physician	$0	$4.6M
Shannon Hunt	ME	Physician Assistant	$58.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monadnock Developmental Services	NH	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$184M
Monadnock Family Services	NH	Community/Behavioral Health Agency	$0	$47.8M
Residential Resources Of Maine	NH	Community/Behavioral Health Agency	$0	$40.1M
Live Free Recovery Services, LLC	NH	Substance Abuse Rehabilitation Facility	$0	$19.1M
Cheshire Medical Center	NH	Medicare Defined Swing Bed Hospital Unit	$0	$8.7M
Chesco	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.1M
County Of Cheshire	NH	Case Manager/Care Coordinator	$0	$7.7M
Montshire Pediatric Dentistry, PC	NH	Pediatric Dentistry	$0	$7.1M
Monadnock Collaborative	NH	Case Management Agency	$0	$5.6M
Blake C Wullbrandt	NH	Pediatric Dentistry	$0	$3.5M

Cheshire Health Services Inc — Billing Profile & Reimbursement Data

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Cheshire Health Services Inc — 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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