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.

Hca Health Services Of New Hampshire Inc (NPI 1518913607)

Field	Value
Entity Type	Organization
Organization	Hca Health Services Of New Hampshire Inc
Address	333 Borthwick Ave
City	Portsmouth
State	NH
ZIP	03801
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$18.8M
Medicare	$0

Key Findings

HCA HEALTH SERVICES OF NEW HAMPSHIRE INC shows no Medicare billing on file and $18.8M in lifetime Medicaid revenue, making its public claims footprint effectively Medicaid-dominant rather than balanced across Medicare and Medicaid. Analysts should treat this profile as single-payer biased for Medicare/Medicaid mix analysis because there is no Medicare activity to compare against the Medicaid volume.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top 3 Medicaid codes account for 68.1% of the provider's total Medicaid revenue. Specifically, 99283 accounts for $6.5M (36.7%), 99284 accounts for $4.2M (23.5%), and 99285 accounts for $1.4M (8.0%) of Medicaid revenue, indicating that a small set of ED codes drives the majority of payments.

The code mix indicates an ED-centric acute care operation supported by imaging and lab services. High volumes of ED E/M codes (99283/99284/99285), paired with imaging codes such as 74177 (2.7K claims, $963.1K revenue) and 70450 (3.4K claims, $560.6K revenue), plus large numbers of routine labs (80053, 85027), point to a hospital that delivers high-throughput emergency and diagnostic services.

On competitive standing within New Hampshire the provider is a major ED volume player for several key codes: 99283 ranks #2 of 66 (98th percentile; notably above typical state volume for this code) and 99284 ranks #7 of 76 (92th percentile; notably above typical state volume for this code). Additional ED code performance such as 99282 at #3 of 46 (96th percentile; notably above typical state volume for this code) reinforces the provider's strong statewide position for lower- and mid-acuity ED visits, while 99285 at #23 of 63 (65th percentile; typical, unremarkable volume for this code) suggests more limited market share for the highest-acuity ED visits.

There are clear high-volume, low-unit-price lab processing signals: 85027 appears as an extreme volume outlier with 31.6K claims, $3 avg paid/claim, and $94.8K revenue, ranking #1 of 34 (100th percentile; extreme outlier, far above typical state volume for this code). This pattern is consistent with centralized routine lab work supporting high ED throughput rather than lucrative per-test reimbursement.

The provider reports substantial medication administration and infusion activity tied to acute care: 96374 shows 10.5K claims and $389.9K revenue (2.2% of total Medicaid revenue), 96375 has 4.4K claims and $159.4K revenue (0.9%), and 96361 reports 923 claims and $95.1K revenue (0.5%). These volumes indicate frequent IV medication and infusion services that align with emergency treatment and short-stay inpatient/observation workflows.

Observation and advanced imaging utilization further support an ED-to-observation model of care: G0378 (hospital observation service) has 2.1K claims and $359.5K revenue (2.0%), and CTA chest 71275 reports 347 claims and $95.8K revenue (0.5%). The presence of observation-hours billing plus targeted advanced imaging suggests capacity for short-term monitoring and diagnostic workups following ED presentation.

The provider's NPI was enumerated on 2006-05-26 (~20 years ago), indicating a long-tenured presence in the market; combined with the high percentile rankings for multiple ED codes, this tenure supports a sustained role as a high-volume emergency and diagnostic provider in New Hampshire.

Medicaid: Complete Services Breakdown

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

165 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.	32,060	$200	$6.5M
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.	18,570	$220	$4.2M
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.	3,730	$380	$1.4M
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.	7,780	$180	$1.4M
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.	2,740	$350	$963.1K
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.	3,380	$170	$560.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10,540	$40	$389.9K
G0378	Hospital observation service, per hour	2,130	$170	$359.5K
99281	The provider sees a patient for the lowest level emergency department visit.	1,660	$150	$250.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	9,310	$20	$195.5K

Showing 1–10 of 165

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

Hca Health Services Of New Hampshire Inc — 3 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

165 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.	23	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.	7	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.	2	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.	11	50	1,150	$230	$480.4K
G0378	Hospital observation service, per hour	7	20	1,390	$190	$406.3K
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.	10	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.	3	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…	86	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.	5	10	70	$560	$204.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	12	50	1,240	$40	$195.1K

Showing 1–10 of 165

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hca Health Services Of New Hampshire Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hca Health Services Of New Hampshire Inc	NH	General Acute Care Hospital	$0	$10.8M
Jamie Kim	NH	Clinical Cardiac Electrophysiology Physician	$210.6K	$0
Jinu John	NH	Cardiovascular Disease Physician	$148.1K	$0
Teimuraz Apridonidze	NH	Cardiovascular Disease Physician	$141.1K	$50
Shannon Mehurg	NH	Nuclear Cardiology Physician	$135.7K	$0
Vikas Veeranna	NH	Cardiovascular Disease Physician	$118.1K	$250
Steven Beaudette	NH	Cardiovascular Disease Physician	$115.9K	$0
Ido Preis	MA	Cardiovascular Disease Physician	$115.4K	$0
Stephan Heo	NH	Cardiovascular Disease Physician	$112.2K	$0
Fahad Gilani	NH	Cardiovascular Disease Physician	$111.3K	$0

Nearby Providers

Other providers in the same ZIP code as Hca Health Services Of New Hampshire Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Viii, One Sky Community Services Inc.	NH	Case Management Agency	$0	$192.2M
Novocure Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$113.1M
Seacoast Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$74.2M
Pmc Medical Group, LLC	NH	General Practice Physician	$392K	$11.2M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.6M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Portsmouth School Department	NH	Local Education Agency (LEA)	$0	$2.6M
Preferred Home Health Care And Nursing Services	NH	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Watterworth Orthodontics, PA	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M
Granite Pathways	NH	Community/Behavioral Health Agency	$0	$2.1M

Hca Health Services Of New Hampshire 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