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.

Catholic Medical Center (NPI 1528150273)

Key Findings

Field	Value
Entity Type	Organization
Organization	Catholic Medical Center
Address	100 Mcgregor St
City	Manchester
State	NH
ZIP	03102
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicaid	$19.8M
Medicare	$0

This provider effectively operates as a Medicaid-focused facility: there is no Medicare billing on file and total Medicaid revenue on the record is $19.8M, indicating Medicaid is the dominant (in practice, sole) government payer in the dataset for this entity. Analysts should treat payer-mix conclusions accordingly rather than expecting dual Medicare/Medicaid comparisons.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top-3 Medicaid codes account for 51.2% of this provider's Medicaid revenue, with 99285 generating $3.4M (21.8%), 99284 generating $3.2M (20.5%), and 99283 generating $1.4M (8.9%). This concentration shows a small number of ED codes drive the majority of reimbursed Medicaid dollars.

The code mix indicates the provider is operating as an acute-care hospital with a high-volume emergency department and extensive diagnostic capacity: the top codes are ED E/M visits (99285/99284/99283) and high-revenue imaging such as 74177 ($1.3M, 8.1%) and 70450 ($444.8K, 2.8%), plus observation (G0378 $520.6K, 3.3%). The presence of 93306 ($462K) and multiple CT/radiology codes alongside observation and ED codes is consistent with a full-service hospital emergency and imaging workflow.

Competitive standing for ED services is strong but not singularly dominant in-state: 99285 ranks #8 of 63 providers (89th percentile) and 99284 ranks #9 of 76 providers (89th percentile), both described as "typical, unremarkable volume" but in the upper decile; 99283 is #14 of 66 (80th percentile). In plain terms, the hospital runs a busy ED relative to most peers in New Hampshire but does not appear to be the single statewide leader on these measures.

Laboratory and basic diagnostic throughput is a notable strength: 80053 appears with 45.1K claims and $270.5K revenue (1.7%) and is flagged as "notably above typical state volume," while 85025 has 45.8K claims and $229.1K revenue (1.5%) and is also described as "notably above typical state volume." These large claim counts imply substantial routine lab volume that supports both the ED and inpatient/outpatient services.

Infusion, observation, and procedure administration volumes are elevated versus peers: codes such as 96375 (9K claims, $424.2K, 2.7%) are labeled "notably above typical state volume" (94th percentile for the code), 96374 and 96361 likewise show high rank percentiles, and chemotherapy code 96413 (2.1K claims, $157.8K) is present. This pattern suggests the hospital provides substantial IV medication/infusion throughput and ambulatory infusion capacity in addition to ED care.

Several imaging and cardiac monitoring codes show above-typical state footprints consistent with an integrated acute-care diagnostic platform: 93306 (2.4K claims, $462K) ranks #5 of 36 (89th percentile), 74177 ranks #9 of 47 (83rd percentile), and 70450 ranks #9 of 47 (83rd percentile). These placements indicate a robust in-house cardiology and advanced imaging capability that complements the ED-centered revenue mix.

Provider tenure is long enough to indicate an established regional presence: the NPI was enumerated on 2006-09-29 (approximately 20 years ago), which, combined with the sustained Medicaid revenue and the breadth of ED/diagnostic/infusion codes, supports the conclusion that this is a mature general acute care hospital with steady Medicaid-facing operations.

Medicaid: Complete Services Breakdown

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

265 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	15,810	$220	$3.4M
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.	17,250	$190	$3.2M
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.	13,170	$110	$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.	3,430	$370	$1.3M
G0378	Hospital observation service, per hour	4,410	$120	$520.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,370	$200	$462K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	4,220	$110	$447.6K
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.	3,900	$110	$444.8K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	7,600	$60	$433.2K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	9,030	$50	$424.2K

Showing 1–10 of 265

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

Catholic Medical Center — 2 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

265 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.	8	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.	9	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.	14	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.	9	50	1,150	$230	$480.4K
G0378	Hospital observation service, per hour	5	20	1,390	$190	$406.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	3	10	450	$120	$403.9K
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…	130	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.	9	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…	236	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.	20	50	2,010	$80	$209.6K

Showing 1–10 of 265

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Appledore Medical Group, Inc	NH	Internal Medicine Physician	$0	$1.4M
Catholic Healthcare Trust	NH	Federally Qualified Health Center (FQHC)	$0	$1.3M
Todd Daugherty	NH	Rheumatology Physician	$1.1M	$0
Ayobami Ojutalayo	MA	Family Medicine Physician	$521.7K	$1.6K
Catholic Medical Center	NH	Cardiovascular Disease Physician	$0	$489.4K
Catholic Medical Center	NH	General Acute Care Hospital	$0	$472.3K
Cmc D/b/a Urgent Care At Bedford Medical Park	NH	Urgent Care Clinic/Center	$0	$306.3K
Rajesh Mohan	NJ	Cardiovascular Disease Physician	$301.9K	$0
Dingxin Qin	NH	Clinical Cardiac Electrophysiology Physician	$221.1K	$0
Frank Jung	WI	Cardiovascular Disease Physician	$215.5K	$360

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moore Center Services, Inc.	NH	Early Intervention Provider Agency	$0	$373.9M
Manchester School District	NH	Local Education Agency (LEA)	$0	$4M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$3.1M
Paul Degregorio	NH	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Metro Treatment Of New Hampshire LP	NH	Methadone Clinic	$148.8K	$1.6M
Anthony Correnti	NH	Ophthalmology Physician	$1.5M	$0
Home For Butterflies, LLC	NH	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.4M
Nancy Efferson-bonachea	NH	Ophthalmology Physician	$790.7K	$0
Nh Eye Associates PLLC	NH	Ophthalmology Physician	$0	$739K
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$480.4K

Catholic Medical Center — 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