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.

Monadnock Family Services (NPI 1649331224)

Field	Value
Entity Type	Organization
Organization	Monadnock Family Services
Address	40 Avon St
City	Keene
State	NH
ZIP	03431
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$47.8M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file while Medicaid revenue totals $47.8M, indicating Medicaid is the dominant — essentially sole — public payer driving the organization’s billed activity. Analysts should treat this profile as Medicaid-centric when assessing network impact or utilization patterns.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes account for 79.3% of total Medicaid revenue, led by T1016 ($23.4M, 49.1%), H2019 ($11.4M, 23.8%), and 90837 ($3.1M, 6.4%). This concentration means a large portion of financial performance depends on a few core programs.

The code mix signals an operations model built around community behavioral health: T1016 (case management, each 15 minutes), H2019 (therapeutic behavioral services, per 15 minutes), and 90837 (long psychotherapy sessions) dominate revenue, implying substantial investment in case management workflows, in-home or community-based therapeutic supports, and longer-duration psychotherapy encounters. The presence of family- and group-focused codes (90847, 90846, 90853) further indicates a broad outpatient behavioral health footprint.

Competitive standing varies by service line: for the highest-revenue code T1016 the provider ranks #15 of 33 in-state (56th percentile) and is described as typical and unremarkable in volume; H2019 ranks #8 of 33 (78th percentile) and is likewise typical; by contrast 90837 ranks #7 of 194 (97th percentile) and is explicitly described as notably above typical state volume, marking the organization as a comparatively strong provider of long psychotherapy sessions.

Psychotherapy and higher-intensity outpatient E/M services are a clear strength: multiple psychotherapy codes show elevated state standings — 90837 (97th percentile, notably above typical), 90832 (96th percentile, notably above typical), and 90834 (95th percentile, typical) — and the E/M code 99215 ranks #4 of 95 (97th percentile, notably above typical). This pattern suggests both high volume and capacity for longer or more complex clinical encounters.

There are programmatic imbalances that present both risk and opportunity: the heavy reliance on a few codes (79.3% from the top three) concentrates financial exposure to changes in reimbursement or utilization rules for case management and therapeutic behavioral services, while the provider’s mid-tier standing on T1016 (56th percentile) suggests room to grow or defend market share in case management relative to peers.

The provider shows areas of limited engagement relative to peers in some ancillary services: H2023 (supported employment) ranks #22 of 29 (25th percentile) and S9485 (crisis intervention per diem) ranks #3 of 3 (0th percentile), indicating these lines are not major contributors to revenue and may be less developed compared with core therapy and case management services. Conversely, T1001 (nursing assessment) ranks #2 of 12 (91st percentile), indicating some specialized assessment capacity is present.

This organization is long-tenured in the marketplace: NPI enumeration date 2006-12-13 (~20 years ago) reflects sustained presence and likely established payer relationships and referral patterns, which can underpin continued Medicaid contracting and client attribution despite the concentrated service mix.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	68,760	$340	$23.4M
H2019	Therapeutic behavioral services, per 15 minutes	121,000	$90	$11.4M
90837	In 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…	39,120	$80	$3.1M
90834	In 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…	29,690	$60	$1.7M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	17,610	$90	$1.6M
T1027	Family training and counseling for child development, per 15 minutes	13,960	$80	$1.1M
H2011	Crisis intervention service, per 15 minutes	4,540	$220	$985K
90832	In 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…	22,920	$40	$871K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	8,350	$90	$759.9K
H2023	Supported employment, per 15 minutes	5,540	$90	$520.8K

Showing 1–10 of 25

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

Monadnock Family Services — 3 of 25 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	15	30	35,170	$170	$12.5M
H2019	Therapeutic behavioral services, per 15 minutes	8	30	3,880	$90	$4.4M
S9485	Crisis intervention mental health services, per diem	3	10	470	$540	$4M
H2023	Supported employment, per 15 minutes	22	30	11,450	$120	$2.3M
H2018	Psychosocial rehabilitation services, per diem	5	10	9,710	$90	$1.9M
H2015	Comprehensive community support services, per 15 minutes	24	30	10,280	$90	$1.5M
H2011	Crisis intervention service, per 15 minutes	6	20	1,900	$180	$829.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	4	30	600	$90	$719.5K
H0034	Medication training and support, per 15 minutes	9	10	17,440	$30	$709.6K
T1027	Family training and counseling for child development, per 15 minutes	4	30	2,010	$80	$516.4K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Monadnock Family Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Debra Coltey	NH	Psychiatric/Mental Health Nurse Practitioner	$46.8K	$0
Melinda Asbury	NH	Psychiatry Physician	$2.3K	$0

Nearby Providers

Other providers in the same ZIP code as Monadnock Family Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monadnock Developmental Services	NH	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$184M
Residential Resources Of Maine	NH	Community/Behavioral Health Agency	$0	$40.1M
Live Free Recovery Services, LLC	NH	Substance Abuse Rehabilitation Facility	$0	$19.1M
Cheshire Medical Center	NH	Medicare Defined Swing Bed Hospital Unit	$0	$8.7M
Chesco	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.1M
County Of Cheshire	NH	Case Manager/Care Coordinator	$0	$7.7M
Montshire Pediatric Dentistry, PC	NH	Pediatric Dentistry	$0	$7.1M
Monadnock Collaborative	NH	Case Management Agency	$0	$5.6M
Cheshire Medical Center	NH	Family Medicine Physician	$0	$4.6M
Blake C Wullbrandt	NH	Pediatric Dentistry	$0	$3.5M

Monadnock Family Services — Billing Profile & Reimbursement Data

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Monadnock Family Services — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References