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.

Ascentria Community Care, Inc (NPI 1598986556)

Field	Value
Entity Type	Organization
Organization	Ascentria Community Care, Inc
Address	261 Sheep Davis Road
City	Concord
State	NH
ZIP	03301
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	May 1, 2007

Payer Source	Total Paid
Medicaid	$50.3M
Medicare	$0

Key Findings

ASCENTRIA COMMUNITY CARE, INC is effectively a Medicaid-focused provider with no Medicare billing on file and $50.3M in lifetime Medicaid revenue; its NPI was enumerated on 2007-05-01 (~19 years ago), indicating a long-tenured presence in the state Medicaid market. The lack of Medicare activity means payer mix is single-payer in practice, concentrated on Medicaid program flows and reimbursement rules.

Revenue is highly concentrated: the precomputed data show that the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with T1019 alone representing $50.2M (99.8% of the provider's Medicaid revenue). This level of concentration signals that shifts to the specific service covered by T1019 would have outsized effects on the provider’s topline.

The dominant code, T1019 (Personal care services, per 15 minutes), accounts for 360.9K claims at a $139 avg paid/claim and $50.2M revenue, indicating the organization operates at scale as a personal-care/home- and community-based services (HCBS) supplier. The T1019 descriptor (per 15-minute units, not for inpatient/resident settings and not to identify services by home health aide/CNA) suggests billing is tied to individualized plan-of-treatment personal care units rather than institutional or skilled nursing services.

Competitive standing on T1019 is markedly strong: the provider ranks #2 of 43 in-state and sits at the 98th percentile, described in the source as an "extreme outlier, far above typical state volume for this code." This placement characterizes ASCENTRIA as one of the largest in-state operators for the specific personal-care service billed under T1019.

T2002 (Non-emergency transportation; per diem) is a very small ancillary revenue stream for the organization: 6.4K claims, $18 avg paid/claim, and $115.6K revenue (0.2% of Medicaid revenue). Although the provider ranks #2 of 7 in-state and is at the 83th percentile, the source labels this volume as "typical, unremarkable," so transportation appears to be a secondary service line rather than a strategic revenue driver.

Operationally, the billing profile—large counts of short-interval units under T1019 (360.9K claims of 15-minute units billed)—implies high scheduling and workforce intensity and a billing process capable of capturing many small-unit encounters. Analysts should infer operational focus on distributed personal-care delivery (home/community settings) rather than episodic or facility-based care.

The financial concentration (T1019 = $50.2M; provider total Medicaid = $50.3M) creates a business risk/opportunity profile tied tightly to Medicaid policy, provider rates, and program eligibility for personal care services. Any state-level rate adjustments, eligibility changes, or program integrity interventions affecting T1019 could materially affect ASCENTRIA’s revenue.

Given its long tenure (NPI enumerated 2007-05-01 (~19 years ago)) and top-tier in-state ranking on the primary code, ASCENTRIA appears to be an established, high-volume participant in New Hampshire’s personal-care HCBS market. For payer/provider analysts, the combination of entrenched market position for T1019 and near-total Medicaid dependence is a central lens for competitor comparison, contracting strategy, and fiscal stress testing.

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
T1019	Personal care services, per 15 minutes, 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…	360,930	$140	$50.2M
T2002	Non-emergency transportation; per diem	6,420	$20	$115.6K

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

Ascentria Community Care, Inc — 1 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
T1019	Personal care services, per 15 minutes, 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…	2	40	18,730	$140	$6.5M
T2002	Non-emergency transportation; per diem	2	10	420	$20	$52.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Bridges	NH	Case Management Agency	$0	$265.5M
Riverbend Community Mental Health, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$118.4M
Granite State Independent Living	NH	In Home Supportive Care Agency	$0	$74.7M
Ascentria Community Services, Inc	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$52.6M
Concord Hospital, Inc.	NH	General Acute Care Hospital	$0	$28.8M
Concord Pediatric Dentistry	NH	Pediatric Dentistry	$0	$13.6M
New England Life Care, Inc.	NH	Home Infusion Therapy Pharmacy	$0	$11.4M
New Hampshire Home Care Providers LLC	NH	In Home Supportive Care Agency	$0	$11M
Brain Injury Association Of Nh	NH	Case Management Agency	$0	$11M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$404K	$10.4M

Ascentria Community Care, Inc — Billing Profile & Reimbursement Data

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Ascentria Community Care, 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