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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMary Hitchcock Memorial Hospital
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    Mary Hitchcock Memorial Hospital — Billing Profile & Reimbursement Data

    NPI 1629788237 · Lebanon, NH · General Acute Care Hospital

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    Mary Hitchcock Memorial Hospital is a general acute care hospital provider located in Lebanon, New Hampshire. This profile covers 0 Medicare and 212 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
    OrganizationMary Hitchcock Memorial Hospital
    Address1 Medical Center Dr
    CityLebanon
    StateNH
    ZIP03756
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedDecember 5, 2022

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

    Payer SourceTotal Paid
    Medicaid$3.7M
    Medicare$0

    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.

    212 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…29,410$60$1.6M
    99213The 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…19,090$40$744.5K
    99215The 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…2,430$60$143.5K
    99392Preventive 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…1,930$70$129.1K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.1,580$70$104K
    99244The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…890$90$80.8K
    99391Preventive 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…1,080$70$73.2K
    J0585Injection, onabotulinumtoxina, 1 unit710$100$70.2K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…470$120$55.1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.9,220$10$46.1K

    Showing 1–10 of 212

    • More pages

    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

    212 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.47601,820$150$756.5K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.51802,220$120$745.6K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.37501,150$230$480.4K
    J0585Injection, onabotulinumtoxina, 1 unit410930$390$354.9K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…133130520$50$338.8K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…167190500$70$286.7K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.42501,250$90$224K
    99214The 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…17420480$50$223.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.35501,240$40$195.1K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1161301,320$40$184.3K

    Showing 1–10 of 212

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mary Hitchcock Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary Hitchcock Memorial HospitalNHGeneral Acute Care Hospital$0$32.3M
    Just Kids Pediatric Dentistry, PlcVTPediatric Dentistry$0$1.5M
    Jason ParksVTRadiation Oncology Physician$1.2M$0
    Henry LeeINRadiation Oncology Physician$868.5K$0
    Matthew LeboeufNHMOHS-Micrographic Surgery Physician$555.8K$0
    Kenneth BrownNHPsychiatry Physician$477.7K$0
    Thomas SrokaORRadiation Oncology Physician$420.2K$0
    Alan SteljesNHCardiovascular Disease Physician$380.8K$0
    John GorechladNJSurgical Critical Care Physician$372.1K$0
    Jeremy CollinsNHPain Medicine (Physical Medicine & Rehabilitation) Physician$328.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Mary Hitchcock Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dartmouth-hitchcock ClinicNHInternal Medicine Physician$624.4K$31.4M
    Linda SpechtNHNeurology with Special Qualifications in Child Neurology Physician$0$578.1K
    Orthocare Medical Equipment LLCNHDurable Medical Equipment & Medical Supplies$0$363.9K
    Akshat PaliwalNHDiagnostic Radiology Physician$309.2K$0
    Kimberly SommerNHInternal Medicine Physician$128.4K$160.2K
    Wayne MoschettiNHAdult Reconstructive Orthopaedic Surgery Physician$288K$0
    Garrett DavisNHOrthopaedic Surgery Physician$221.7K$0
    Henry TannousNHThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$197.9K$0
    David LawlorNHOphthalmology Physician$180.1K$5.1K
    Bassem ZakiNHRadiation Oncology Physician$175.8K$0

    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
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Mary Hitchcock Memorial Hospital — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire