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.

Family Health Center, P.A. (NPI 1518009901)

Field	Value
Entity Type	Organization
Organization	Family Health Center, P.A.
Address	1 Oak Ridge Rd
City	West Lebanon
State	NH
ZIP	03784
Taxonomy	Family Medicine Physician
NPI Enumerated	February 13, 2007

Payer Source	Total Paid
Medicaid	$275.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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…	3,270	$60	$186.3K
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…	2,070	$40	$84.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	950	$1	$1.9K
99204	The provider sees a new 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 provider…	10	$60	$810
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	80	$10	$740
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	30	$20	$490
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	30	$10	$270
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	30	$10	$260

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

Family Health Center, P.A. — 0 of 8 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

8 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…	103	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…	119	400	350	$30	$140.6K
99204	The provider sees a new 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 provider…	90	110	90	$80	$31.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	76	120	220	$10	$8.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	57	60	780	$1	$8.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	35	80	770	$1	$3.3K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	98	110	220	$1	$2.2K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	4	10	20	$10	$560

Related Providers

Other providers that share a Tax Identification Number (TIN) with Family Health Center, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Kelsey	NH	Family Medicine Physician	$166.6K	$0

Nearby Providers

Other providers in the same ZIP code as Family Health Center, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Habit Opco, LLC	NH	Methadone Clinic	$493.3K	$3.9M
Upper Valley Pediatric Dentistry, PC	NH	Preferred Provider Organization	$0	$1.2M
Foad Rasekh	NH	General Practice Dentistry	$0	$679.4K
Prime Anesthesia PLLC	NH	Certified Registered Nurse Anesthetist	$0	$464.5K
Walgreen Co	NH	Pharmacy	$245K	$0
Maxi Drug North Inc	NH	Community/Retail Pharmacy	$156.6K	$0
Cvs Manchester Nh L.L.C.	NH	Pharmacy	$132.1K	$0
Wal-mart Stores East LP	NH	Community/Retail Pharmacy	$93.1K	$0
Jessica Eid	NH	Optometrist	$52.6K	$0
Hannaford Bros Co LLC	NH	Community/Retail Pharmacy	$51.6K	$0

Family Health Center, P.A. — Billing Profile & Reimbursement Data

Sign up for Family Health Center, P.A. — Billing Profile & Reimbursement Data policy alerts

Family Health Center, P.A. — Billing Profile & Reimbursement Data

Sign up for Family Health Center, P.A. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References