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.

Nfi North, Inc (NPI 1619148277)

Field	Value
Entity Type	Organization
Organization	Nfi North, Inc
Address	40 Park Ln
City	Contoocook
State	NH
ZIP	03229
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	March 21, 2008

Payer Source	Total Paid
Medicaid	$117.7M
Medicare	$0

Key Findings

NFI NORTH, INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and Total Medicaid revenue is $117.7M. The entity has an established presence with an NPI enumerated 2008-03-21 (~18 years ago), indicating long tenure operating in its service lines under Medicaid reimbursement.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 82.3% of this provider's total Medicaid revenue. The three largest contributors are H0019 ($63.3M, 53.8%), H2020 ($26.5M, 22.5%), and T1020 ($7.1M, 6.0%), so a small set of per‑diem behavioral and personal care codes drive the vast majority of receipts.

The code mix points to a core business of long-term, non‑medical residential behavioral health and intensive per‑diem therapeutic services rather than episodic medical care. H0019 is described as long-term residential behavioral health and H2020 as therapeutic behavioral services per diem, while T1020 is personal care services per diem; the reported claim volumes (H2020 126.6K claims, H0019 98.6K claims, T1020 30.5K claims) and average paid/claim ($642 for H0019, $209 for H2020, $233 for T1020) are consistent with high-volume, per‑day reimbursement models.

NFI is a dominant statewide player for multiple behavioral health lines: H0019 ranks #1 of 13 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and H2020 ranks #1 of 8 providers in-state (100th percentile; notably above typical state volume for this code). Several other behavioral codes also rank at the top locally (for example, H2018 and H2012 each rank #1 in their peer groups), signaling market leadership in residential and day-treatment behavioral services.

Not all service lines are exceptional versus peers: T1020, while a top-3 revenue contributor here, ranks #14 of 41 providers in-state (68th percentile; typical, unremarkable volume for this code), indicating that personal care services are an important but more commonly supplied offering in the market. Conversely, H2018 ($6.9M, 5.8%) ranks #1 of 5 (100th percentile; notably above typical state volume) and H2012 ($5M, 4.2%) ranks #1 of 3 (100th percentile), reinforcing that specialized psychosocial rehabilitation and day treatment work are areas of relative strength.

The provider also bills a range of wrap‑around and case management services at smaller revenue shares, signaling holistic program offerings beyond residential stays. Examples include G9012 ($2.1M, 1.8%, rank #2 of 4, 67th percentile), T1016 ($1.6M, 1.3%, rank #20 of 33, 41th percentile) and H2027 ($1.6M, 1.4%, rank #1 of 11, 100th percentile; notably above typical state volume), which together suggest structured case management and psychoeducational supplements to the core residential and therapeutic programs.

Because Medicaid accounts for all recorded billing and a handful of per‑diem behavioral codes represent the majority of revenue, the organization’s financial performance is sensitive to Medicaid policy and rate changes affecting H0019, H2020, and T1020. The per‑claim average payments and per‑diem nature of the top codes imply that shifts in daily rates, enrollment, or utilization patterns for residential and therapeutic behavioral services would disproportionately impact overall revenue.

Claim intensity and scale underline operational breadth: the provider reports very high claim volumes on leading codes (H2020 126.6K claims and H0019 98.6K claims), consistent with continuous, high-throughput residential and therapeutic programs rather than low-frequency outpatient interventions. Combined with multiple #1 statewide rankings across behavioral codes, this profile identifies the organization as a large, specialized Medicaid behavioral health operator in New Hampshire whose competitive standing is concentrated in a narrow set of service lines.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	98,600	$640	$63.3M
H2020	Therapeutic behavioral services, per diem	126,580	$210	$26.5M
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…	30,530	$230	$7.1M
H2018	Psychosocial rehabilitation services, per diem	73,790	$90	$6.9M
H2012	Behavioral health day treatment, per hour	22,600	$220	$5M
H2023	Supported employment, per 15 minutes	22,560	$120	$2.6M
G9012	Other specified case management service not elsewhere classified	26,390	$80	$2.1M
H2027	Psychoeducational service, per 15 minutes	31,100	$50	$1.6M
T1016	Case management, each 15 minutes	4,660	$340	$1.6M
H2022	Community-based wrap-around services, per diem	860	$1,060	$907.8K

Showing 1–10 of 15

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

Nfi North, Inc — 5 of 15 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

15 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…	14	40	14,020	$330	$32.2M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1	10	5,180	$1,400	$17.7M
T1016	Case management, each 15 minutes	20	30	35,170	$170	$12.5M
H2020	Therapeutic behavioral services, per diem	1	10	38,630	$170	$7.8M
H2022	Community-based wrap-around services, per diem	10	20	3,860	$200	$5M
H2023	Supported employment, per 15 minutes	5	30	11,450	$120	$2.3M
H2018	Psychosocial rehabilitation services, per diem	1	10	9,710	$90	$1.9M
H2012	Behavioral health day treatment, per hour	1	10	30	$220	$1.7M
G9012	Other specified case management service not elsewhere classified	2	10	13,300	$90	$1.6M
H2027	Psychoeducational service, per 15 minutes	1	10	2,480	$60	$340K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Nfi North, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopkinton School District	NH	Local Education Agency (LEA)	$0	$463.8K
Town Of Hopkinton	NH	Land Ambulance	$137.4K	$2.2K
Benjamin Colby	NH	Family Medicine Physician	$63.2K	$0
Amy Metcalf	NH	Psychiatric/Mental Health Nurse Practitioner	$20.7K	$0

Nfi North, Inc — Billing Profile & Reimbursement Data

Sign up for Nfi North, Inc — Billing Profile & Reimbursement Data policy alerts

Nfi North, Inc — Billing Profile & Reimbursement Data

Sign up for Nfi North, Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References