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.

Summit New Hampshire LLC (NPI 1578262317)

Field	Value
Entity Type	Organization
Organization	Summit New Hampshire LLC
Address	1750 Elm St Ste No406
City	Manchester
State	NH
ZIP	03104
Taxonomy	Physical Disabilities Residential Treatment Facility
NPI Enumerated	March 1, 2023

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Key Findings

SUMMIT NEW HAMPSHIRE LLC bills no Medicare (none) and reports $11.8M in lifetime Medicaid revenue, indicating the organization operates effectively as a Medicaid-focused provider rather than a dual-payer practice. The absence of Medicare billing on file makes Medicaid the sole observable public payer contributing to its recorded revenue.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, which implies a narrow service mix driving nearly all recorded Medicaid payments. That concentration suggests financial performance is closely tied to utilization and reimbursement for a small set of service lines.

T1020 is the dominant code for this provider with 24.7K claims, $380 avg paid/claim, and $9.4M in revenue, representing 79.8% of the provider’s Medicaid receipts. In-state competitive data show this volume ranks #15 of 41 providers (65th percentile) and is described as typical/unremarkable relative to peers, meaning SUMMIT NH is a meaningful but not dominant producer of T1020 activity within the state.

T2021 is the secondary driver with 11.7K claims, $204 avg paid/claim, and $2.4M in revenue, accounting for 20.2% of the provider’s Medicaid total. It ranks #20 of 39 providers in-state (50th percentile) and is also characterized as typical/unremarkable volume, indicating the provider’s day habilitation activity closely matches median in-state peer levels.

The code mix—predominantly T1020 (personal care services, per diem) and T2021 (day habilitation, waiver; per 15 minutes)—aligns with the listed taxonomy of a Physical Disabilities Residential Treatment Facility and suggests operations are centered on residential personal care and structured habilitation programming rather than home health or physician services. The T1020 description (per diem, part of an individualized plan of treatment and not to identify services by home health aide or certified nurse assistant) reinforces an institutional/residential delivery model.

State-level competitive standing is modest: a 65th-percentile rank for the largest code and a 50th-percentile rank for the second code indicate the provider is a routine, mid-market participant in these Medicaid service lines rather than a statewide leader. There is no evidence in the data of extreme outlier volumes or unusually high rank positions for its top codes.

The provider’s NPI was enumerated 2023-03-01 (~3 years ago), indicating relatively recent formal enrollment in the federal/provider registry; combined with the concentrated code profile, this shorter tenure suggests its Medicaid footprint has been established within the last few years rather than representing a long-standing, diversified billing history.

Because two specific codes drive essentially all Medicaid revenue (79.8% and 20.2% for the listed codes) and the top-three codes sum to 100.0% of Medicaid revenue, the provider’s revenue is sensitive to policy, reimbursement, or utilization changes affecting those waiver and per-diem personal care services. Analysts should treat future shifts in waiver rules or per-diem rates for T1020/T2021 as potentially material to the provider’s cash flow and competitive position.

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
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…	24,750	$380	$9.4M
T2021	Day habilitation, waiver; per 15 minutes	11,650	$200	$2.4M

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

Summit New Hampshire LLC — 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
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…	15	40	14,020	$330	$32.2M
T2021	Day habilitation, waiver; per 15 minutes	20	40	11,650	$170	$12.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Interim Healthcare Of The Neast, LLC	NH	Home Health Agency	$0	$32.6M
Carepoint Plus LLC	NH	Home Health Agency	$0	$19.2M
Home Base Collaborative Family Counseling	NH	Clinical Social Worker	$0	$18.2M
Interim Healthcare Of The Neast, LLC	NH	Home Health Agency	$0	$4.5M
Ofemz Home Healthcare Agency, LLC	NH	Home Health Agency	$0	$2.5M
Masonic Home	NH	Assisted Living Facility	$0	$2.4M
Maxwell Elia	NH	Ophthalmology Physician	$2.3M	$0
Bio-medical Applications Of Manchester, Inc.	NH	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.3M
Ahad Fazelat	NH	Ophthalmology Physician	$2.1M	$0
Hanover Street Family Dental	NH	General Practice Dentistry	$0	$1.5M

Summit New Hampshire LLC — Billing Profile & Reimbursement Data

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Summit New Hampshire LLC — Billing Profile & Reimbursement Data

Sign up for Summit New Hampshire LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References