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    OpenPayerNPI Medicare & MedicaidNortheast Family Services Of New Hampshire, Inc.
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    Northeast Family Services Of New Hampshire, Inc. — Billing Profile & Reimbursement Data

    NPI 1609348465 · Manchester, NH · Community/Behavioral Health Agency

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    Northeast Family Services Of New Hampshire, Inc. is a community/behavioral health agency provider located in Manchester, New Hampshire. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNortheast Family Services Of New Hampshire, Inc.
    Address250 Commercial St Ste 2018 & 2020
    CityManchester
    StateNH
    ZIP03101
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedDecember 18, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$15.4M
    Medicare$0

    Key Findings

    NORTHEAST FAMILY SERVICES OF NEW HAMPSHIRE is effectively a Medicaid-centric provider: there is no Medicare billing on file and the provider reports $15.4M in lifetime Medicaid revenue, indicating the organization operates almost entirely within Medicaid reimbursement channels rather than Medicare. This payer concentration shapes revenue exposure and strategic focus toward state Medicaid program policies and rates.

    Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three codes (H2022, H0040, T1025) account for 93.5% of the provider’s total Medicaid revenue. The single largest code, H2022, generates $10.9M (71.0% of Medicaid revenue), followed by H0040 with $2.6M (16.6%) and T1025 with $896K (5.8%), so programmatic changes to those line items would materially affect overall revenue.

    The top codes define the service model: H2022 (Community-based wrap-around services, per diem) and H0040 (Assertive community treatment program, per diem) together make up the bulk of revenue and suggest the organization runs per‑diem community behavioral health programs and intensive outreach/ACT services. T1025 (Intensive, extended multidisciplinary services for children, per diem) and T1027 (Family training and counseling) signal a substantial pediatric and family‑focused clinical component delivered in clinic and community settings.

    Utilization data underline scale and unit economics for core programs: H2022 shows 74.7K claims at $146 avg paid/claim, driving the largest share of revenue; H0040 shows 14.8K claims at $173 avg paid/claim, reflecting higher per‑diem reimbursement for ACT; and T1025 has 13.6K claims at $66 avg paid/claim, indicating high-volume, lower‑unit pediatric multidisciplinary care. Together these counts demonstrate both high service volume and differing reimbursement profiles across per‑diem programs.

    Competitive standing within New Hampshire is mixed by code: for H2022 the provider ranks #2 of 15 (93th percentile) and for H0040 ranks #2 of 12 (91th percentile), indicating it is a high‑volume statewide participant for those services but described as a typical, unremarkable volume relative to peers. By contrast, the provider is the statewide leader for T1025 (rank #1 of 8, 100th percentile) and is characterized as notably above typical state volume for that pediatric multidisciplinary service.

    Service breadth beyond the top three supports family and home‑based care: T1027 (Family training and counseling) accounts for $756K (4.9% of Medicaid revenue) and ranks #6 of 30 (83th percentile), while 99341 (home/residence E/M visits) accounts for $241.7K (1.6%) and ranks #2 of 7 (83th percentile). These codes confirm auxiliary clinical offerings focused on family training and home visiting that complement the provider’s per‑diem programs.

    The provider has been enumerated since 2018-12-18 (~8 years ago), indicating an established presence in the state Medicaid market; this tenure, combined with leading rank on T1025 and high ranks on per‑diem codes, suggests an operational footprint built around community behavioral health and pediatric multidisciplinary services.

    From a strategic and financial risk perspective, the heavy reliance on a few per‑diem Medicaid codes (top three = 93.5% of Medicaid revenue) concentrates exposure to rate changes, prior authorization policies, and programmatic audits tied to those service categories. Given the absence of Medicare revenue, any state Medicaid policy shifts affecting H2022, H0040, or T1025 would disproportionately impact organizational revenue and should be a focus for payer/provider analysts evaluating sustainability and negotiation leverage.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2022Community-based wrap-around services, per diem74,740$150$10.9M
    H0040Assertive community treatment program, per diem14,760$170$2.6M
    T1025Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem13,580$70$896K
    T1027Family training and counseling for child development, per 15 minutes12,600$60$756K
    99341The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…4,100$60$241.7K

    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.

    Full comparison — all codes billed, vs. New Hampshire median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2022Community-based wrap-around services, per diem2203,860$200$5M
    H0040Assertive community treatment program, per diem2103,700$270$2.8M
    99341The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…2101,220$480$870.2K
    T1025Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem110360$240$527.9K
    T1027Family training and counseling for child development, per 15 minutes6302,010$80$516.4K

    Nearby Providers

    Other providers in the same ZIP code as Northeast Family Services Of New Hampshire, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Siddharth Services, Inc.NHFoster Care Agency$0$23.8M
    WaypointNHCommunity/Behavioral Health Agency$0$20.8M
    Crotched Mountain Community CareNHCase Management Agency$0$20.6M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$20.2M
    Community Integrated Services, IncNHCommunity/Behavioral Health Agency$0$17M
    Independent Services Network, Inc.NHCommunity/Behavioral Health Agency$0$14M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$11.6M
    Habit Opco, LLCNHMethadone Clinic$539.9K$4.3M
    Impress Healthcare CorporationNHIn Home Supportive Care Agency$0$3.1M
    Economy VisionNHOptometrist$0$2.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Hampshire Providers
    2 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Northeast Family Services Of New Hampshire, Inc. — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire