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    OpenPayerNPI Medicare & MedicaidNew Hampshire Home Care Providers LLC
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    New Hampshire Home Care Providers LLC — Billing Profile & Reimbursement Data

    NPI 1528566031 · Concord, NH · In Home Supportive Care Agency

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    New Hampshire Home Care Providers LLC is a in home supportive care agency provider located in Concord, New Hampshire. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNew Hampshire Home Care Providers LLC
    Address163 Loudon Rd
    CityConcord
    StateNH
    ZIP03301
    TaxonomyIn Home Supportive Care Agency
    NPI EnumeratedJanuary 30, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$11M
    Medicare$0

    Key Findings

    Payer mix is effectively single-payer: there is none below for Medicare — this provider has no Medicare billing on file — while all reported fee-for-service activity is Medicaid-only totaling $11M in lifetime Medicaid revenue. The precomputed top-3 concentration shows the provider’s Medicaid revenue is fully concentrated (Top 3 Medicaid codes account for 100.0% of total Medicaid revenue), indicating near-total reliance on a very small set of service lines.

    Revenue concentration is extreme at the code level: T1019 alone accounts for $11M in revenue (99.9% of this provider's total Medicaid revenue) with 33.7K claims and an average paid per claim of $327. That single-code dependence means most of the organization’s billing and cash flow comes from time-based personal care services rather than a diversified service mix.

    Service-line profile aligns with the taxonomy In Home Supportive Care Agency and the dominant CPT/HCPCS mix. Heavy use of T1019 (Personal care services, per 15 minutes, part of the individualized plan of treatment) suggests operations are organized around point-of-care, time-based personal care visits rather than episodic clinical home health services; the code note that it "may not be used to identify services provided by home health aide or certified nurse assistant" further signals this is billed as personal care under plan-of-care arrangements.

    Operational scale: the 33.7K T1019 claims shows substantial utilization of a time-based personal care model, while the second-listed code T2002 (Non-emergency transportation; per diem) is much smaller with 348 claims and $10.4K revenue ($30 avg paid/claim), indicating transportation is a marginal supplementary service. These volumes point to a labor/time-intensive delivery model focused on hands-on personal care visits rather than transportation or other ancillary services.

    Competitive standing for the primary service is middling within-state: T1019 ranks #15 of 43 providers in-state (67th percentile; typical, unremarkable volume), which characterizes the provider as a modest/typical participant in New Hampshire’s personal care market rather than a dominant statewide provider. Similarly, T2002 ranks #5 of 7 providers in-state (33th percentile; typical, unremarkable volume), confirming the transportation line is neither a competitive strength nor a major market position.

    Tenure and registrations: the NPI was enumerated on 2018-01-30 (~8 years ago), indicating the provider has been active for multiple years and has had time to establish recurring Medicaid billing patterns and operational workflows tied to T1019. That tenure supports the observed concentration as an embedded part of the organization’s business model rather than a transient spike.

    Business risk and strategic implications arise from the narrow revenue base: with Top 3 Medicaid codes accounting for 100.0% of Medicaid revenue and T1019 representing 99.9% of Medicaid revenue, the provider is highly exposed to any Medicaid rate changes, policy redefinitions of personal care services, or administrative edits targeting T1019 billing practices. For payers and analysts, this concentration flags the provider for close monitoring of utilization trends, authorization patterns, and any regulatory changes affecting personal care service coverage.

    Claims mix signals operational focus and payer dependence rather than clinical diversification: the predominance of time-based personal care (T1019) and negligible Medicare presence means the organization is specialized in Medicaid-funded long-term/supportive services and is potentially less engaged with clinical, physician-led, or Medicare-driven home health models. This profile informs competitive comparisons, network contracting, and care management approaches when considering the provider for Medicaid programs or managed long-term services and supports (MLTSS).

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…33,670$330$11M
    T2002Non-emergency transportation; per diem350$30$10.4K

    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.

    Full comparison — all codes billed, vs. New Hampshire median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…154018,730$140$6.5M
    T2002Non-emergency transportation; per diem510420$20$52.5K

    Nearby Providers

    Other providers in the same ZIP code as New Hampshire Home Care Providers LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community BridgesNHCase Management Agency$0$265.5M
    Riverbend Community Mental Health, Inc.NHMental Health Clinic/Center (Including Community Mental Health Center)$0$118.4M
    Granite State Independent LivingNHIn Home Supportive Care Agency$0$74.7M
    Ascentria Community Services, IncNHIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$52.6M
    Ascentria Community Care, IncNHVoluntary or Charitable Agency$0$50.3M
    Concord Hospital, Inc.NHGeneral Acute Care Hospital$0$28.8M
    Concord Pediatric DentistryNHPediatric Dentistry$0$13.6M
    New England Life Care, Inc.NHHome Infusion Therapy Pharmacy$0$11.4M
    Brain Injury Association Of NhNHCase Management Agency$0$11M
    Metro Treatment Of New Hampshire, LPNHMethadone Clinic$404K$10.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Hampshire Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    New Hampshire Home Care Providers LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire