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.

Lakes Region Community Services Council (NPI 1548317852)

Field	Value
Entity Type	Organization
Organization	Lakes Region Community Services Council
Address	67 Communication Dr
City	Laconia
State	NH
ZIP	03246
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	January 5, 2007

Payer Source	Total Paid
Medicaid	$149M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file while Medicaid lifetime revenue is $149M, indicating virtually all billed activity and revenue flow through state Medicaid programs rather than Medicare. The absence of Medicare activity suggests the organization’s services and contracts are focused on Medicaid-covered waiver, habilitation, and personal-care programs rather than Medicare-covered clinical services.

Revenue is highly concentrated in a very small set of Medicaid codes: the top three codes (T1020, T2021, T2025) together account for 88.6% of the provider’s total Medicaid revenue. The three top drivers are T1020 ($74.5M, 50.0%), T2021 ($32.4M, 21.7%), and T2025 ($25.1M, 16.9%), which implies financial dependence on per-diem personal care, day habilitation, and broad waiver-service billing.

The code mix signals the provider operates large-scale personal care and day habilitation programs and participates heavily in Medicaid waiver systems: T1020 is personal care services paid per diem, T2021 is day habilitation (per 15 minutes), and T2025 is a catch-all waiver service NOS. Together these codes suggest operational focus on long-term support services for individuals with disabilities and sizable recurring service volumes rather than episodic medical procedures.

Competitive standing is uneven by service line. For day habilitation (T2021) the provider ranks #4 of 39 and sits in the 92th percentile — described as notably above typical state volume — indicating a strong regional position in habilitation programs; by contrast T1020 personal care ranks #8 of 41 (83th percentile; typical, unremarkable volume) and T2025 ranks #6 of 14 (62th percentile; typical, unremarkable volume), showing the provider is a significant but not dominant statewide player in personal care and miscellaneous waiver services.

The organization shows a meaningful case-management and care-coordination footprint: T2022 (case management, per month) has 28.2K claims generating $5.4M and ranks #4 of 23 (86th percentile; typical, unremarkable volume), while T2023 (targeted case management, per month) has 23.4K claims generating $4.6M and ranks #2 of 11 (90th percentile; typical, unremarkable volume). These rankings and claim volumes indicate formalized monthly care coordination services are part of the provider’s standard offering and support its high-volume habilitation and personal-care cases.

Operational scale is reflected by very large claim volumes on the two leading codes: T1020 shows 292.3K claims and T2021 shows 261.3K claims, which signals ongoing, high-throughput per-diem and per-15-minute service delivery rather than episodic or one-off encounters. Such throughput is consistent with running sustained day programs and continuous personal-care assignment models that require staffing and scheduling capacity at scale.

There are small but notable niche services in the portfolio. T2035 (utility services for assistive technology/devices, waiver) is only $185.5K of revenue but ranks #1 of 2 providers in-state (100th percentile; typical, unremarkable volume for this code), suggesting the organization offers some specialized waiver supports that few peers provide even if they contribute minimally to total revenue. These niche lines may reflect targeted capabilities or local contract requirements rather than major revenue drivers.

The provider is an established entity with longevity in state programs: its NPI was enumerated 2007-01-05 (~19 years ago), which supports an interpretation of sustained participation in New Hampshire Medicaid and likely institutional knowledge of state waiver and habilitation contracting and billing practices. That tenure likely underpins the high-volume, recurring-service business model seen in the claims mix.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, 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…	292,290	$260	$74.5M
T2021	Day habilitation, waiver; per 15 minutes	261,340	$120	$32.4M
T2025	Waiver services; not otherwise specified (nos)	24,580	$1,020	$25.1M
T2022	Case management, per month	28,180	$190	$5.4M
T2023	Targeted case management; per month	23,400	$200	$4.6M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	12,050	$220	$2.6M
T1005	Respite care services, up to 15 minutes	24,000	$80	$1.9M
H2015	Comprehensive community support services, per 15 minutes	25,040	$60	$1.4M
T1019	Personal 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…	15,890	$40	$699.2K
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	1,010	$180	$185.5K

Showing 1–10 of 13

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

Lakes Region Community Services Council — 1 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, 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…	8	40	14,020	$330	$32.2M
T2025	Waiver services; not otherwise specified (nos)	6	10	20,960	$1,140	$26.7M
T2021	Day habilitation, waiver; per 15 minutes	4	40	11,650	$170	$12.7M
T1019	Personal 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…	23	40	18,730	$140	$6.5M
T2022	Case management, per month	4	20	4,510	$240	$3.5M
T2023	Targeted case management; per month	2	10	10,730	$230	$3.2M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	8	20	10,250	$240	$2.2M
T1005	Respite care services, up to 15 minutes	5	10	18,880	$90	$1.6M
H2015	Comprehensive community support services, per 15 minutes	8	30	10,280	$90	$1.5M
T1027	Family training and counseling for child development, per 15 minutes	27	30	2,010	$80	$516.4K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Lakes Region Community Services Council, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Lakes Region Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$57.1M
Concord Hospital-laconia	NH	General Acute Care Hospital	$0	$9.3M
Laconia Housing & Redevelopment Authority	NH	Home Health Agency	$0	$6.6M
Healthfirst Family Care Center, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$5.1M
Lrghealthcare	NH	Family Medicine Physician	$0	$2.9M
Concord Hospital-laconia	NH	Medicare Defined Swing Bed Hospital Unit	$0	$2.9M
Concord Hospital-laconia	NH	Family Medicine Physician	$0	$2.5M
Laconia School District	NH	Local Education Agency (LEA)	$0	$2.4M
Sobriety Centers Of New Hampshire	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.7M
City Of Laconia	NH	Land Ambulance	$393K	$614.8K

Lakes Region Community Services Council — 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

Nearby Providers

Frequently Asked Questions

References