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.

Londonderry Pediatrics, PA (NPI 1518990514)

Londonderry Pediatrics, PA is a pediatrics physician provider located in Londonderry, New Hampshire. This profile covers 0 Medicare and 21 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	Londonderry Pediatrics, PA
Address	25 Buttrick Rd
City	Londonderry
State	NH
ZIP	03053
Taxonomy	Pediatrics Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$527.9K
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	6,750	$40	$283.5K
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…	770	$70	$50.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	970	$50	$49.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	730	$60	$46.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	650	$60	$40.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	4,970	$10	$24.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	310	$60	$18.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	1,800	$10	$9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	50	$60	$3.5K
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.	70	$10	$650

Showing 1–10 of 21

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

Londonderry Pediatrics, PA — 0 of 14 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

21 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…	186	420	480	$50	$223.9K
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.	46	50	1,240	$40	$195.1K
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…	60	400	350	$30	$140.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	27	60	580	$70	$61.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	20	60	460	$40	$61.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	19	60	400	$70	$56.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	29	50	370	$60	$47.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	35	50	170	$70	$28K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	9	40	240	$10	$10.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	10	120	220	$10	$8.9K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regency Home Health LLC	NH	Home Health Agency	$0	$31M
Residential Resources, Inc	NH	Community/Behavioral Health Agency	$0	$8.6M
Londonderry School District	NH	Local Education Agency (LEA)	$0	$1.7M
Bodhi Counseling Services LLC	NH	Mental Health Counselor	$0	$868.9K
Miles Of Smiles PLLC	NH	General Practice Dentistry	$0	$354.2K
Town Of Londonderry	NH	Ambulance	$267.6K	$47.1K
Francis Lamy	NH	Ophthalmology Physician	$265.1K	$0
Convenientmd LLC	NH	Urgent Care Clinic/Center	$0	$261.3K
Rachel Boles	NH	Social Worker	$0	$248.6K
Clarity Counseling Associates	NH	Clinical Social Worker	$0	$244.8K

Londonderry Pediatrics, PA — Billing Profile & Reimbursement Data

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Londonderry Pediatrics, PA — 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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