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.

Monadnock Community Hospital (NPI 1457304149)

Monadnock Community Hospital is a critical access hospital provider located in Peterborough, New Hampshire. This profile covers 0 Medicare and 126 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	Monadnock Community Hospital
Address	452 Old Street Rd
City	Peterborough
State	NH
ZIP	03458
Taxonomy	Critical Access Hospital
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

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

126 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	12,460	$160	$1.9M
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.	10,880	$170	$1.8M
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.	4,510	$260	$1.2M
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.	530	$1,220	$643.5K
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…	6,690	$60	$401.5K
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.	4,800	$70	$326.1K
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.	840	$350	$296.5K
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…	4,110	$50	$221.7K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	2,290	$80	$171.6K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	2,000	$70	$137.9K

Showing 1–10 of 126

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

Monadnock Community Hospital — 0 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

126 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.	19	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.	17	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.	15	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.	31	50	1,150	$230	$480.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	130	520	$50	$338.8K
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.	31	50	1,250	$90	$224K
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…	70	420	480	$50	$223.9K
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.	7	50	2,010	$80	$209.6K
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…	14	130	1,320	$40	$184.3K
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…	13	60	1,020	$30	$172.2K

Showing 1–10 of 126

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monadnock Community Hospital	NH	Critical Access Hospital	$0	$2.2M
Jonathan Breslau	MN	Diagnostic Radiology Physician	$1.3M	$0
Monadnock Community Hospital	NH	Rural Health Clinic/Center	$0	$352.8K
Sonya Kella	MN	Diagnostic Radiology Physician	$301.4K	$50.4K
Syed Anwarulislam	NJ	Diagnostic Radiology Physician	$299.6K	$0
Arlene Sussman	MN	Diagnostic Radiology Physician	$242.3K	$29.9K
Krishna Iyer	MN	Vascular & Interventional Radiology Physician	$248K	$0
Farhad Sani	MN	Diagnostic Radiology Physician	$220.6K	$0
Kimberly Jordan	MN	Diagnostic Radiology Physician	$215.2K	$0
Joseph Rozell	MN	Diagnostic Radiology Physician	$208K	$70

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monadnock Worksource Incorporated	NH	Developmental Disabilities Clinic/Center	$0	$2.4M
Contoocook Valley School District	NH	Local Education Agency (LEA)	$0	$1.2M
Town Of Peterborough	NH	Ambulance	$338.5K	$222.2K
Linda Perry	NH	Professional Counselor	$0	$280K
Cvs Manchester Nh LLC	NH	Pharmacy	$258.9K	$0
Brian Cromer	NH	Family Nurse Practitioner	$218.4K	$0
Heather Bartels	NH	Ophthalmology Physician	$189.1K	$0
Robert Spencer	NH	Cardiovascular Disease Physician	$124.3K	$0
Robert Tyszko	NH	Optometrist	$122.9K	$0
Jeffrey Haines	NH	Psychiatry Physician	$115.7K	$0

Monadnock Community Hospital — Billing Profile & Reimbursement Data

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Monadnock Community Hospital — 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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