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.

Community Integrated Services, Inc (NPI 1578934345)

Field	Value
Entity Type	Organization
Organization	Community Integrated Services, Inc
Address	250 Commercial St
City	Manchester
State	NH
ZIP	03101
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 19, 2015

Payer Source	Total Paid
Medicaid	$17M
Medicare	$0

Key Findings

COMMUNITY INTEGRATED SERVICES, INC reports no Medicare billing on file and $17M in lifetime Medicaid revenue, making its operational footprint effectively single-payer (Medicaid) in our dataset. This payer mix means analysts should treat Medicaid program rules and state waiver policy as the primary drivers of its revenue dynamics.

The provider’s Medicaid revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of its Medicaid revenue, with two codes listed explicitly driving all reported Medicaid dollars. Such concentration indicates a narrow service mix that ties the provider’s financial performance closely to activity for a small set of service lines.

T1020 is the dominant revenue driver, with 36.4K claims at $384 avg paid/claim yielding $14M in revenue, which represents 82.4% of this provider’s total Medicaid revenue. T1020’s volume reflects per-diem personal care services as a core operating activity for the organization, suggesting daily support or respite services are central to its business model.

T2021 comprises the remainder of reported Medicaid revenue: 12.6K claims at $238 avg paid/claim producing $3M, or 17.6% of total Medicaid revenue. The presence of a per-15-minute day habilitation code alongside per-diem personal care indicates the provider bills both continuous daily supports and time-based habilitation services, consistent with a community/behavioral health agency focusing on waiver populations.

Competitive standing within New Hampshire is modest: T1020 ranks #13 of 41 providers in-state (70th percentile; typical, unremarkable volume for this code), which places the provider above median but not among top statewide leaders for that service. T2021 ranks #19 of 39 providers in-state (53th percentile; typical, unremarkable volume for this code), indicating near‑median participation in day habilitation relative to peers and an overall role as a steady, mid-tier provider rather than a dominant statewide player.

The NPI was enumerated on 2015-10-19 (~11 years ago), indicating an established presence in the market with multiple years to build payer relationships and service delivery patterns. This tenure, combined with the concentrated Medicaid billing mix, suggests the provider has settled into a focused operational niche that has persisted over time.

Because T1020 and T2021 together account for 100.0% of Medicaid revenue and each code aligns to distinct billing units (per-diem vs. per-15-min), changes in utilization, reimbursement rates, or waiver rules for those specific codes would likely have an outsized impact on the provider’s revenue profile. Analysts tracking this entity should prioritize monitoring utilization trends and state policy changes for T1020 and T2021 given their revenue concentration.

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…	36,440	$380	$14M
T2021	Day habilitation, waiver; per 15 minutes	12,550	$240	$3M

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

Community Integrated Services, Inc — 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…	13	40	14,020	$330	$32.2M
T2021	Day habilitation, waiver; per 15 minutes	19	40	11,650	$170	$12.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Siddharth Services, Inc.	NH	Foster Care Agency	$0	$23.8M
Waypoint	NH	Community/Behavioral Health Agency	$0	$20.8M
Crotched Mountain Community Care	NH	Case Management Agency	$0	$20.6M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$20.2M
Northeast Family Services Of New Hampshire, Inc.	NH	Community/Behavioral Health Agency	$0	$15.4M
Independent Services Network, Inc.	NH	Community/Behavioral Health Agency	$0	$14M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$11.6M
Habit Opco, LLC	NH	Methadone Clinic	$539.9K	$4.3M
Impress Healthcare Corporation	NH	In Home Supportive Care Agency	$0	$3.1M
Economy Vision	NH	Optometrist	$0	$2.2M

Community Integrated Services, Inc — Billing Profile & Reimbursement Data

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Community Integrated 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