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.

Southern New Hampshire Medical Center (NPI 1598700940)

Key Findings

Field	Value
Entity Type	Organization
Organization	Southern New Hampshire Medical Center
Address	8 Prospect St
City	Nashua
State	NH
ZIP	03060
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 19, 2006

Payer Source	Total Paid
Medicaid	$22.3M
Medicare	$0

SOUTHERN NEW HAMPSHIRE MEDICAL CENTER reports no Medicare billing on file and $22.3M in lifetime Medicaid revenue, making its public claims footprint effectively single-payer Medicaid in this dataset. This concentration implies analyses of utilization and contractual leverage should focus on Medicaid-managed care and state fee schedules rather than Medicare dynamics for this facility.

Revenue is highly concentrated in emergency department evaluation-and-management codes: 99285 ($3.9M, 22.6%), 99284 ($3.2M, 18.5%), and 99283 ($3.0M, 17.4%) together account for 58.6% of the provider's total Medicaid revenue. Those three codes alone drive the majority of Medicaid dollars reported, signaling that ED services are the primary revenue engine for the hospital.

The facility’s code mix and claim counts point to a high-volume, acute-care emergency operation with on-site diagnostic and short-term observation capacity. High revenues and claim volumes for imaging codes such as 74177 ($1.2M, 6.7%) and 70450 ($593.2K, 3.4%), plus observation code G0378 ($481.3K, 2.8%), indicate ED-driven downstream use of CT imaging and observation-unit services.

Competitive standing for ED services is strong statewide: 99284 ranks #1 of 76 providers in-state (100th percentile; extreme outlier) and 99283 ranks #1 of 66 providers in-state (100th percentile; extreme outlier), while 99285 ranks #3 of 63 providers in-state (97th percentile; notably above typical state volume for this code). These ranks show the hospital is a dominant ED volume leader in New Hampshire, well above typical peers for high-acuity and moderate/low-acuity ED visits.

Beyond emergency care, the provider shows elevated volumes for core hospital labs and imaging that support high throughput: 80053 (CMP) has 45.6K claims and $273.7K revenue and ranks #4 of 36 providers in-state (91th percentile; notably above typical state volume for this code), and CT of the abdomen/pelvis without contrast 74176 ($271.4K, 1.6%) ranks #3 of 35 providers in-state (94th percentile; notably above typical state volume for this code). These positions suggest the hospital’s diagnostic services are also comparatively busy within the state.

Rehabilitation, therapy, and procedure throughput complement the acute care profile: 97110 (therapeutic exercise) shows 22.5K claims and $382.6K revenue (2.2%) and ranks #6 of 133 providers in-state (96th percentile), while 97140 (manual therapy) has 12.5K claims and $186.8K revenue (1.1%) and ranks #5 of 55 providers in-state (93th percentile). The combination of large therapy claim counts and ED-driven volumes indicates integrated inpatient/ambulatory rehab and therapy throughput supporting post-acute and recovery pathways.

Infusion and observation-related procedure volumes are notable and consistent with a busy hospital setting that manages both acute treatment and short-course inpatient care: 96375 ($283.2K, 1.6%), 96365 ($228.3K, 1.3%), and 96374 ($214.2K, 1.2%) appear among the top Medicaid codes, and observation per-hour G0378 appears as a top code, reinforcing that the facility delivers IV therapy and observation-level care alongside emergency services.

The provider’s NPI has been enumerated since 2006-06-19 (~20 years ago), indicating a long-standing presence in the market; combined with the high statewide ranks on multiple ED and diagnostic codes, the hospital should be treated as an established, high-volume regional acute care center for Medicaid populations when evaluating network capacity, utilization management, or competitive dynamics.

Medicaid: Complete Services Breakdown

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

276 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	28,530	$140	$3.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	39,590	$80	$3.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	48,570	$60	$3M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,480	$330	$1.2M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4,240	$140	$593.2K
G0378	Hospital observation service, per hour	2,950	$160	$481.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	22,510	$20	$382.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	10,360	$30	$352.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	8,700	$40	$330.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	10,310	$30	$329.9K

Showing 1–10 of 276

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

Southern New Hampshire Medical Center — 4 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

276 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3	60	1,820	$150	$756.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1	80	2,220	$120	$745.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1	70	2,540	$110	$733.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	8	50	1,150	$230	$480.4K
G0378	Hospital observation service, per hour	6	20	1,390	$190	$406.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	4	10	450	$120	$403.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	8	50	1,250	$90	$224K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	12	50	2,010	$80	$209.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	50	130	2,640	$40	$208.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	5	50	1,240	$40	$195.1K

Showing 1–10 of 276

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Erica Lavoie	NH	Emergency Medicine Physician	$72.8K	$0
Marc Sadowsky	MA	Psychiatry Physician	$66.5K	$0
Santharam Yadati	NH	Psychiatry Physician	$58.1K	$0
Southern New Hampshire Medical Center	NH	Psychiatric Hospital Unit	$0	$54K
Gregory Howell	NY	Emergency Medicine Physician	$28.7K	$11.7K
Kayleigh Maas	NH	Physician Assistant	$25.7K	$0
Brian O'hearn	NH	Family Nurse Practitioner	$25.5K	$0
Susan Hills	NH	Physician Assistant	$22.9K	$0
James Dawson	NH	Physician Assistant	$22.8K	$0
Peter Row	NH	Emergency Medical Services (Emergency Medicine) Physician	$22K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Council Of Nashua Nh, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$75.7M
Harbor Homes, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$23.4M
Life Coping Inc.	NH	Case Management Agency	$0	$17.6M
King Healthcare Group LLC	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$15.1M
Plus Co. Inc.	NH	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$13.8M
St Joseph Hospital Of Nashua Nh	NH	General Acute Care Hospital	$0	$13M
Alpha Home Care Solutions, Inc	NH	Home Health Agency	$0	$8.4M
Lamprey Health Care Inc	NH	Federally Qualified Health Center (FQHC)	$0	$8.1M
Nashua Center For The Multiply Handicapped, Inc.	NH	In Home Supportive Care Agency	$0	$6.8M
Foundation Medical Partners Inc	NH	Internal Medicine Physician	$0	$5.8M

Southern New Hampshire Medical Center — Billing Profile & Reimbursement Data

Sign up for Southern New Hampshire Medical Center — Billing Profile & Reimbursement Data policy alerts

Southern New Hampshire Medical Center — Billing Profile & Reimbursement Data

Sign up for Southern New Hampshire Medical Center — Billing Profile & Reimbursement Data policy alerts

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