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.

Mark Horan (NPI 1538221205)

Field	Value
Entity Type	Individual
Organization	Mark Horan
Address	81 Washington St
City	Conway
State	NH
ZIP	03818
Taxonomy	Mental Health Counselor
NPI Enumerated	December 15, 2006

Payer Source	Total Paid
Medicaid	$536.8K
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	7,050	$80	$535.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$90	$1K

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

Mark Horan — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	19	190	500	$70	$286.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	67	70	140	$90	$100.8K

Nearby Providers

Other providers in the same ZIP code as Mark Horan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saco River Medical Group, PC	NH	Family Medicine Physician	$0	$5.3M
White Mountain Community Health Center	NH	Federally Qualified Health Center (FQHC)	$0	$2.8M
Blue Heron Neurofeedback And Counseling	NH	Multi-Specialty Clinic/Center	$0	$1.1M
Sevigny Family Dental PLLC Dba Conway Family Dental Care	NH	General Practice Dentistry	$0	$431.5K
William Hyde	NH	Marriage & Family Therapist	$0	$363.8K
Lincare Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$361.9K
Lifestar Emergency Medical Services LLC	NH	Land Ambulance	$199.8K	$49.2K
Children Unlimited, Inc.	NH	Multi-Specialty Clinic/Center	$0	$207.7K
Conway Village Fire District	NH	Ambulance	$102K	$25.7K
Melissa Myers	NH	Psychiatry Physician	$108.3K	$0

Mark Horan — Billing Profile & Reimbursement Data

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Mark Horan — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References