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.

Valley Regional Hospital, Inc (NPI 1619340163)

Valley Regional Hospital, Inc is a family medicine physician provider located in Claremont, New Hampshire. This profile covers 0 Medicare and 38 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Valley Regional Hospital, Inc
Address	5 Dunning St Ste 1
City	Claremont
State	NH
ZIP	03743
Taxonomy	Family Medicine Physician
NPI Enumerated	November 5, 2015

Payer Source	Total Paid
Medicaid	$782K
Medicare	$0

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	4,760	$70	$309.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	5,180	$40	$217.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,030	$60	$65.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	930	$60	$57.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	700	$60	$43.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	500	$60	$30.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	2,070	$10	$12.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	140	$80	$10.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,210	$10	$7.3K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	920	$10	$6.4K

Showing 1–10 of 38

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

Valley Regional Hospital, Inc — 0 of 24 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	80	420	480	$50	$223.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	79	400	350	$30	$140.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	24	60	580	$70	$61.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	15	60	400	$70	$56.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	52	100	170	$70	$51.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14	50	370	$60	$47.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	10	50	170	$70	$28K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	66	110	170	$20	$26.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	47	60	280	$20	$15.9K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	54	60	630	$10	$11.8K

Showing 1–10 of 38

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Regional Hospital Inc.	NH	Critical Access Hospital	$0	$10M
Valley Regional Hospital, Inc.	NH	Urgent Care Clinic/Center	$0	$875.8K
Valley Regional Hospital ,inc.	NH	Emergency Medicine Physician	$0	$597.2K
Lisa Cooper	NH	Family Nurse Practitioner	$273.9K	$0
Valley Regional Hospital, Inc.	NH	Internal Medicine Physician	$0	$182.5K
Azem Dushaj	CT	Internal Medicine Physician	$121.6K	$0
Vitaliano Sicilia	NH	Internal Medicine Physician	$103.1K	$0
Jesper Brickley	VT	Family Medicine Physician	$95.8K	$0
Gregory Dadekian	NH	Internal Medicine Physician	$93K	$0
Michael Sparks	NH	Orthopaedic Surgery Physician	$83.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Services Of Sullivan County, Inc.	NH	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$139.4M
Colin B Boswell Dds PC	NH	Pediatric Dentistry	$0	$5.2M
Golden Cross Ambulance Inc	NH	Ambulance	$1.2M	$3.5M
Claremont School District	NH	Local Education Agency (LEA)	$0	$3M
Daniel Peraza	NH	Dermatology Physician	$1.1M	$0
Sullivan County Oral Health Collaborative	NH	Dental Clinic/Center	$0	$892.1K
Jose E Peraza Md PLLC	NH	Dermatology Physician	$0	$870.9K
Samuel Giveen	NH	Optometrist	$120.2K	$544.2K
Tlc Family Resource Center	NH	Public Health or Welfare Agency	$0	$611.6K
Spence Dental, P.A.	NH	General Practice Dentistry	$0	$442.6K

Valley Regional Hospital, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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