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.

Greater Seacoast Community Health (NPI 1578854287)

Field	Value
Entity Type	Organization
Organization	Greater Seacoast Community Health
Address	311 Route 108
City	Somersworth
State	NH
ZIP	03878
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 28, 2011

Payer Source	Total Paid
Medicaid	$21.2M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-centric Federally Qualified Health Center: it reports $21.2M in lifetime Medicaid revenue and has no Medicare billing on file, making it functionally single‑payer in the available claims data. The NPI was enumerated on 2011-04-28 (~15 years ago), indicating an established presence in the market.

Revenue is extremely concentrated in a single FQHC encounter code: T1015 accounts for $19.4M of revenue (91.7% of this provider’s total Medicaid revenue) with 109.7K claims at $177 avg paid/claim. The precomputed top-three codes (T1015, 99213, D0120) together account for 94.0% of Medicaid revenue, signaling very high reliance on bundled clinic-visit payments.

The provider is a statewide outlier on its principal FQHC visit activity: T1015 ranks #2 of 81 providers in-state (99th percentile; extreme outlier), and the related FQHC visit code G0467 ranks #1 of 33 providers in-state (100th percentile; notably above typical state volume). These rankings indicate a dominant role in delivering bundled FQHC visit services within New Hampshire.

Although much smaller in dollar impact, evaluation-and-management codes also appear at unusually high volumes: 99213 generates $275.6K (1.3% of Medicaid revenue) with 45.9K claims and ranks #9 of 395 in-state (98th percentile; extreme outlier). This pattern suggests a high throughput of lower‑paid E/M visits alongside the bundled T1015 encounters.

Dental services represent a consistent secondary service line rather than a revenue driver: D0120 (periodic oral evaluation) contributes $218.6K (1.0% of Medicaid revenue) with 7.8K claims and ranks #16 of 191 in-state (92th percentile). Other dental codes (D1120, D1110, D1208, D7140) appear across the top-25 list at modest revenue shares, implying an integrated oral health program consistent with many FQHCs.

Telehealth and rural/FQHC-specific reimbursement appear in the mix: G2025 (telehealth distant site FQHC/RHC) has 3.6K claims and $50.9K revenue (0.2% of Medicaid revenue), ranking #2 of 24 in-state (96th percentile). The presence of G2025 alongside high-volume in-person FQHC codes indicates the organization uses both face-to-face and telehealth modalities within its Medicaid population.

Mental health and FQHC mental health visit coding are present but a small portion of revenue: G0470 accounts for $19.7K (0.1% of Medicaid revenue) with 2K claims and ranks #2 of 9 in-state (88th percentile). This suggests behavioral health is offered and visible in claims, but it is not a primary revenue driver compared with the main FQHC encounter code.

The extreme revenue concentration in one bundled code (T1015 at 91.7%) creates operational and payer-risk implications: any policy, rate, or billing guideline change affecting T1015 could materially impact this provider’s Medicaid revenue. Given the provider’s dominant state-level rankings on several FQHC-specific codes, payers and network analysts should treat this entity as a major Medicaid FQHC participant in New Hampshire with concentrated exposure to encounter-based reimbursement.

Medicaid: Complete Services Breakdown

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

102 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	109,710	$180	$19.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	45,930	$10	$275.6K
D0120	Periodic oral evaluation - established patient	7,810	$30	$218.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	13,130	$20	$197K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	30,670	$10	$184K
D1120	Prophylaxis–child	5,020	$30	$170.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,490	$60	$137.1K
D1208	Topical application of fluoride - excluding varnish	7,040	$20	$119.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	770	$90	$72.5K
D0140	Limited oral evaluation – problem focused	1,370	$40	$57.5K

Showing 1–10 of 102

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

Greater Seacoast Community Health — 6 of 25 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

102 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	33	30	35,170	$170	$12.5M
T1015	Clinic visit/encounter, all-inclusive	2	80	760	$170	$2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	11	130	520	$50	$338.8K
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…	122	190	500	$70	$286.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	15	420	480	$50	$223.9K
D2140	Amalgam - one surface, primary or permanent	4	10	520	$90	$223.9K
D2150	Amalgam - two surfaces, primary or permanent	4	10	140	$100	$180K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	9	400	350	$30	$140.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	19	70	140	$90	$100.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	100	610	$30	$93.8K

Showing 1–10 of 102

Related Providers

Other providers that share a Tax Identification Number (TIN) with Greater Seacoast Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.6M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$2M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$153K
William Sutherland	NH	Orthopaedic Surgery Physician	$133.1K	$0
Kasra Djalayer	NH	Internal Medicine Physician	$109.6K	$0
Jeffrey Segil	NH	Obstetrics & Gynecology Physician	$39.4K	$0
Teresa Quint	NH	Clinical Social Worker	$14.9K	$0
Rachael Wizwer	NH	Clinical Social Worker	$12.2K	$0
David Itkin	NH	Infectious Disease Physician	$1.5K	$0

Nearby Providers

Other providers in the same ZIP code as Greater Seacoast Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Strafford Nutrition & Meals On Wheels	NH	Home Health Agency	$0	$1.8M
Sau 56	NH	Local Education Agency (LEA)	$0	$728.1K
Gregory Aprilliano	NH	Certified Registered Nurse Anesthetist	$0	$478K
Wentworth Surgery Center, LLC	NH	Ambulatory Surgical Clinic/Center	$406.2K	$0
Roger Epstein	NH	Gastroenterology Physician	$347.8K	$0
Sean Lynch	NH	Gastroenterology Physician	$320.2K	$0
Ira Parsons	NH	Orthopaedic Surgery Physician	$318.8K	$0
Atlantic Digestive Specialists, PLLC	NH	Gastroenterology Physician	$0	$312.2K
Aristotle Damianos	NH	Gastroenterology Physician	$273.2K	$0
Robert Ruben	NH	Specialist	$201.4K	$0

Greater Seacoast Community Health — Billing Profile & Reimbursement Data

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Greater Seacoast Community Health — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References