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.

Diabetes And Lifestyle Management, LLC (NPI 1649649021)

Field	Value
Entity Type	Organization
Organization	Diabetes And Lifestyle Management, LLC
Address	15 Tsienneto Rd Ste 200
City	Derry
State	NH
ZIP	03038
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 16, 2015

Payer Source	Total Paid
Medicaid	$271.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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…	5,560	$50	$255.8K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	1,250	$10	$10K
99204	The provider sees a new 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 provider…	50	$50	$2.3K
95250	In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…	60	$40	$2.2K
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…	60	$20	$1.2K

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

Diabetes And Lifestyle Management, LLC — 1 of 5 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

5 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…	71	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…	290	400	350	$30	$140.6K
99204	The provider sees a new 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 provider…	63	110	90	$80	$31.3K
95250	In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…	1	10	60	$40	$2.2K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	1	10	40	$10	$1.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Diabetes And Lifestyle Management, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Harris	NH	Nurse Practitioner	$116.2K	$0
Colleen Skeirik	NH	Family Medicine Physician	$68K	$0
Jonathan Harris	VT	Family Nurse Practitioner	$36.5K	$0
Sarah Tremblay	NH	Family Nurse Practitioner	$35.4K	$0
Lyndsey Vallee	NH	Family Nurse Practitioner	$17.3K	$0

Nearby Providers

Other providers in the same ZIP code as Diabetes And Lifestyle Management, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mental Health Center For Southern New Hampshire Inc	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$77.7M
James B. Haas, Dds PA	NH	Pediatric Dentistry	$0	$11.6M
Tender Care Incorporated	NH	Home Health Agency	$0	$11.4M
Hca Health Services Of New Hampshire Inc	NH	General Acute Care Hospital	$0	$10.8M
The Granite House Sober Living, LLC	NH	Substance Abuse Rehabilitation Facility	$0	$4.2M
Derry Medical Center, PA	NH	Family Medicine Physician	$0	$2.4M
Running Brook Emergency Physicians, LLC	NH	Emergency Medicine Physician	$0	$1.9M
Derry Cooperative School District	NH	Local Education Agency (LEA)	$0	$1.4M
Emergency Medicine Services Of Nh, LLC	NH	Emergency Medicine Physician	$0	$1.1M
Town Of Derry	NH	Ambulance	$377.9K	$621.2K

Diabetes And Lifestyle Management, LLC — Billing Profile & Reimbursement Data

Sign up for Diabetes And Lifestyle Management, LLC — Billing Profile & Reimbursement Data policy alerts

Diabetes And Lifestyle Management, LLC — Billing Profile & Reimbursement Data

Sign up for Diabetes And Lifestyle Management, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References