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.

Huggins Hospital (NPI 1629091830)

Huggins Hospital is a pediatrics physician provider located in Wolfeboro, New Hampshire. This profile covers 0 Medicare and 21 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	Huggins Hospital
Address	240 S Main St Ste C
City	Wolfeboro
State	NH
ZIP	03894
Taxonomy	Pediatrics Physician
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicaid	$550.5K
Medicare	$0

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

21 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…	4,360	$60	$257.3K
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…	4,910	$40	$196.3K
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…	410	$70	$29.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	380	$60	$22.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,840	$10	$14.2K
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…	170	$50	$8.7K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	1,910	$1	$5.7K
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.	880	$10	$4.4K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	1,060	$1	$3.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	40	$60	$2.3K

Showing 1–10 of 21

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

Huggins Hospital — 0 of 16 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

21 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…	86	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…	80	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…	38	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.	31	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…	31	100	170	$70	$51.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	36	50	170	$70	$28K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	17	40	240	$10	$10.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	16	120	220	$10	$8.9K
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.	31	60	780	$1	$8.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	56	90	290	$10	$6.5K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Huggins Hospital	NH	Critical Access Hospital	$0	$5.4M
Huggins Hospital	NH	Family Medicine Physician	$0	$160.2K
Joshua Mendelson	FL	Clinical Neurophysiology Physician	$121.2K	$0
Huggins Hospital	NH	Family Medicine Physician	$0	$117.4K
Huggins Hospital	NH	Family Medicine Physician	$0	$105.5K
Vlasta Zdrnja	NH	Internal Medicine Physician	$92.3K	$0
Adam Ferguson	CT	Orthopaedic Surgery Physician	$82.8K	$0
Huggins Hospital	NH	Family Medicine Physician	$0	$67.3K
Vahid Behravan	FL	Neurology Physician	$57.7K	$0
Dennis Badman	NH	Family Medicine Physician	$49K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kent Handfield	NH	Dermatology Physician	$431.2K	$0
New Hampshire Emergency Physician Associates PC	NH	Emergency Medicine Physician	$0	$191.5K
Play And Prosper Therapy, PLLC	NH	Occupational Therapist	$0	$156.3K
Stephen Kirwan	NH	Optometrist	$106.3K	$0
Vitaliano Sicilia	NH	Internal Medicine Physician	$103.1K	$0
Jeanne Ernst	NH	Adult Health Nurse Practitioner	$95.1K	$0
Ahmed Hussin	NH	Internal Medicine Physician	$94.7K	$0
Robert Murray	NH	Psychiatry Physician	$53.6K	$0
Paul Demasi	NH	Internal Medicine Physician	$53.2K	$0
Emelia Cronshaw	NH	Physician Assistant	$36.3K	$0

Huggins Hospital — Billing Profile & Reimbursement Data

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Huggins Hospital — 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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