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.

Region Viii, One Sky Community Services Inc. (NPI 1568512770)

Field	Value
Entity Type	Organization
Organization	Region Viii, One Sky Community Services Inc.
Address	755 Banfield Rd Ste 3
City	Portsmouth
State	NH
ZIP	03801
Taxonomy	Case Management Agency
NPI Enumerated	January 11, 2007

Payer Source	Total Paid
Medicaid	$192.2M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and is effectively a single-payer Medicaid provider: lifetime Medicare revenue is none while lifetime Medicaid revenue totals $192.2M, indicating its operational footprint is concentrated entirely in Medicaid-funded services. Analysts should treat payer-mix risk as concentrated to state Medicaid policy and waiver program changes.

Revenue is highly concentrated in a very small set of waiver and personal-care codes: the precomputed top-3 Medicaid codes account for 92.9% of this provider's total Medicaid revenue. The three drivers are T1020 ($102.5M, 53.3%), T2021 ($42.3M, 22.0%), and T2025 ($33.7M, 17.5%), so changes to reimbursement or authorization for any of these codes would materially affect overall revenue.

The code mix (T1020, T2021, T2025, plus case management codes such as T2022 and T2023) signals an operational model focused on long-term supports and community-based waiver services: large volumes of personal care services (T1020) and day habilitation (T2021) indicate ongoing in-community care and day-program operations, while T2025 reflects higher-dollar waiver services that are likely bundled or higher-intensity interventions within waiver arrangements. This profile is typical of providers delivering home- and community-based services for developmental disabilities or similar populations.

Competitive standing by code shows the provider is a major in several statewide categories: T1020 ranks #6 of 41 providers in-state (88th percentile) and T2021 ranks #5 of 39 (89th percentile), indicating they are among the larger in-state operators for personal care and day habilitation. T2025 ranks #4 of 14 (77th percentile), which also indicates above-average presence for higher-cost waiver services; the supplied percentile labels note these volumes are “typical, unremarkable” for those code contexts despite the relatively high ranks.

Claim-level economics differ across the top codes and imply different service intensities: T1020 shows 304.9K claims at a $336 avg paid/claim, T2021 shows 231.4K claims at a $183 avg paid/claim, while T2025 has far fewer claims (37.7K) but a much higher avg paid/claim ($894). This pattern—high claim counts with lower per-claim payments for T1020/T2021 versus lower claim counts and higher per-claim payments for T2025—is consistent with a mix of routine personal/day services and distinct higher-intensity waiver episodes.

Although the majority of revenue comes from a few large codes, the provider also displays targeted strengths in narrower service lines: H2032 (Activity therapy) is ranked #1 of 6 providers in-state and is labeled “notably above typical state volume” despite representing $144.3K (0.1%) of revenue, indicating a relative specialty or local dominance in that specific therapy. Conversely, some services such as T1005 (Respite care) and H2023 (Supported employment) show modest in-state ranks (T1005 #11 of 13, 17th percentile; H2023 #24 of 29, 18th percentile), demonstrating uneven market position across ancillary waiver services.

The provider has a long tenure in the NPI registry (enumerated 2007-01-11, ~19 years), which supports interpretation of these patterns as established practice lines rather than short-term program spikes; this longevity may reflect sustained participation in state waiver programs and embedded operational capacity in community-based services.

Medicaid: Complete Services Breakdown

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

11 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…	304,910	$340	$102.5M
T2021	Day habilitation, waiver; per 15 minutes	231,380	$180	$42.3M
T2025	Waiver services; not otherwise specified (nos)	37,690	$890	$33.7M
T2022	Case management, per month	25,320	$250	$6.3M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	11,970	$220	$2.6M
T2023	Targeted case management; per month	10,730	$200	$2.2M
H2015	Comprehensive community support services, per 15 minutes	15,580	$70	$1.1M
T1005	Respite care services, up to 15 minutes	6,450	$130	$844.7K
H2023	Supported employment, per 15 minutes	3,720	$120	$450.2K
H2032	Activity therapy, per 15 minutes	1,550	$90	$144.3K

Showing 1–10 of 11

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

Region Viii, One Sky Community Services Inc. — 1 of 11 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

11 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…	6	40	14,020	$330	$32.2M
T2025	Waiver services; not otherwise specified (nos)	4	10	20,960	$1,140	$26.7M
T2021	Day habilitation, waiver; per 15 minutes	5	40	11,650	$170	$12.7M
T2022	Case management, per month	8	20	4,510	$240	$3.5M
T2023	Targeted case management; per month	6	10	10,730	$230	$3.2M
H2023	Supported employment, per 15 minutes	24	30	11,450	$120	$2.3M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	9	20	10,250	$240	$2.2M
T1005	Respite care services, up to 15 minutes	11	10	18,880	$90	$1.6M
H2015	Comprehensive community support services, per 15 minutes	9	30	10,280	$90	$1.5M
H2011	Crisis intervention service, per 15 minutes	12	20	1,900	$180	$829.6K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Region Viii, One Sky Community Services Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Novocure Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$113.1M
Seacoast Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$74.2M
Hca Health Services Of New Hampshire Inc	NH	General Acute Care Hospital	$0	$18.8M
Pmc Medical Group, LLC	NH	General Practice Physician	$392K	$11.2M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.6M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Portsmouth School Department	NH	Local Education Agency (LEA)	$0	$2.6M
Preferred Home Health Care And Nursing Services	NH	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Watterworth Orthodontics, PA	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M
Granite Pathways	NH	Community/Behavioral Health Agency	$0	$2.1M

Region Viii, One Sky Community Services Inc. — Billing Profile & Reimbursement Data

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Region Viii, One Sky Community Services Inc. — 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