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.

Easter Seals New Hampshire, Inc (NPI 1619146982)

Field	Value
Entity Type	Organization
Organization	Easter Seals New Hampshire, Inc
Address	555 Auburn St
City	Manchester
State	NH
ZIP	03103
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	February 21, 2008

Payer Source	Total Paid
Medicaid	$37.9M
Medicare	$0

Key Findings

EASTER SEALS NEW HAMPSHIRE, INC is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $37.9M in lifetime Medicaid revenue, indicating its operations and revenues are concentrated in the Medicaid program rather than split between payers. The absence of any Medicare billing suggests payer mix and financial planning should be evaluated through a Medicaid-focused lens.

Revenue is extremely concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes together account for 99.3% of the provider's total Medicaid revenue, with T1020 alone making up 76.4% of Medicaid revenue. This concentration means financial performance and utilization patterns will be highly sensitive to policy, rate, or eligibility changes affecting those few codes.

The provider’s dominant revenue source is T1020 (Personal care services, per diem), with 13.8K claims, an average paid per claim of $2089, and $28.9M in revenue. That single per-diem personal care code drives the majority of the business and implies the organization delivers substantial daily personal care or program-based supports tied to individualized plans of treatment.

The second major revenue stream is T2021 (Day habilitation, waiver; per 15 minutes), which recorded 38.7K claims, $212 average paid/claim, and $8.2M in revenue (21.7% of Medicaid revenue). The presence of a high-volume per-15-minute habilitation code alongside large per-diem personal care suggests a mixed service model combining day-program habilitation and ongoing personal care supports for individuals with developmental disabilities.

Behavioral and skills-training services appear as much smaller revenue contributors: H2019 (Therapeutic behavioral services) generated 5.2K claims and $469.6K (1.2% of Medicaid revenue), while H2014 (Skills training and development) produced 3.1K claims and $228.1K (0.6%). These figures indicate behavioral and skill-building interventions are part of the service mix but are not major revenue drivers compared with personal care and day habilitation.

Competitive standing is mixed across codes: for the largest code T1020 the provider ranks #22 of 41 in-state (48th percentile), which the dataset characterizes as typical or unremarkable volume and suggests it is not a dominant statewide player in that category. For T2021 the provider is stronger (rank #13 of 39, 68th percentile), indicating above-median activity for day habilitation, while H2014 is ranked #1 of 9 (100th percentile) in-state but contributes only 0.6% of revenue, so leadership in that narrow code does not materially shift overall market share.

Several state-level comparative notes point to limited breadth: T2025 and other ancillary waiver codes show low volumes (T2025: 463 claims, $36.1K revenue, rank #13 of 14, 8th percentile), and S9451 appears as a sole filer in-state (35 claims, $3.8K revenue) with no meaningful peer-volume comparison available. These patterns indicate the provider concentrates on a few core waiver services rather than a broad portfolio of niche codes.

The provider has an established presence in the market with an NPI enumerated on 2008-02-21 (~18 years ago), which supports continuity of operations and may reflect organizational stability in delivering long-term waiver and habilitation services across the state. Given the strong Medicaid concentration and the heavy reliance on a single per-diem code, analysts should prioritize monitoring changes to waiver policies, per-diem rates, and T1020 utilization when assessing financial or operational risk.

Medicaid: Complete Services Breakdown

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

6 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…	13,850	$2,090	$28.9M
T2021	Day habilitation, waiver; per 15 minutes	38,700	$210	$8.2M
H2019	Therapeutic behavioral services, per 15 minutes	5,220	$90	$469.6K
H2014	Skills training and development, per 15 minutes	3,130	$70	$228.1K
T2025	Waiver services; not otherwise specified (nos)	460	$80	$36.1K
S9451	Exercise classes, non-physician provider, per session	40	$110	$3.8K

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

Easter Seals New Hampshire, Inc — 1 of 6 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

6 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…	22	40	14,020	$330	$32.2M
T2025	Waiver services; not otherwise specified (nos)	13	10	20,960	$1,140	$26.7M
T2021	Day habilitation, waiver; per 15 minutes	13	40	11,650	$170	$12.7M
H2019	Therapeutic behavioral services, per 15 minutes	13	30	3,880	$90	$4.4M
H2014	Skills training and development, per 15 minutes	1	10	490	$70	$101.2K
S9451	Exercise classes, non-physician provider, per session	1	10	40	$110	$3.8K

Nearby Providers

Other providers in the same ZIP code as Easter Seals New Hampshire, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mental Health Center Of Greater Manchester	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$143.9M
Easter Seals New Hampshire, Inc	NH	Developmental Disabilities Clinic/Center	$0	$63.1M
Elliot Hospital Of The City Of Manchester	NH	General Acute Care Hospital	$0	$60.5M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$859.8K	$15.4M
Manchester Alcoholism Rehabilitation Center	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16M
Minuteman Medical Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$15M
Factor Dental, Inc	NH	Point of Service	$0	$12.5M
Bayada Home Health Care, Inc.	NH	Home Health Agency	$0	$9.3M
Lifeshare Management Group, Inc.	NH	In Home Supportive Care Agency	$0	$8.7M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.3M

Easter Seals New Hampshire, Inc — Billing Profile & Reimbursement Data

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Easter Seals New Hampshire, 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