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.

Brain Injury Association Of Nh (NPI 1669643300)

Field	Value
Entity Type	Organization
Organization	Brain Injury Association Of Nh
Address	109 N State St
City	Concord
State	NH
ZIP	03301
Taxonomy	Case Management Agency
NPI Enumerated	March 21, 2008

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Key Findings

BRAIN INJURY ASSOCIATION OF NH’s code mix is concentrated in time-based case management services, with the primary billing codes listed as T1016 (Case management, each 15 minutes) and T2022 (Case management, per month). This pattern aligns with its taxonomy as a Case Management Agency and suggests operational focus on one-on-one or small-team care coordination rather than procedure-driven clinical services.

Medicaid is the exclusive payer on file for this entity; there is no Medicare billing on file and total Medicaid revenue is $11M. Because Medicare revenue is absent, the provider is effectively a single-payer (Medicaid) operation in the available data, which concentrates its payer exposure to state Medicaid policy and reimbursement changes.

Revenue concentration is very high: the top three Medicaid codes account for 100.0% of this provider’s Medicaid revenue, and that concentration is dominated by T1016, which alone represents $10.1M (92.1% of this provider's total Medicaid revenue). This heavy reliance on a single code creates revenue sensitivity to changes in utilization patterns or rate-setting for that specific service.

Utilization and unit economics show a clear split: T1016 accounts for 120.4K claims at $84 avg paid/claim versus T2022 with 3.4K claims at $260 avg paid/claim. In plain terms, most of the provider’s Medicaid volume and dollars come from high-frequency, lower-unit-value 15-minute case management billing rather than the lower-frequency, higher-paid monthly case management code.

Competitive standing for the provider on its primary code is moderate in-state: for T1016 it ranks #9 of 33 providers in-state (75th percentile; typical, unremarkable volume for this code), indicating a solid presence but not a dominant statewide position. That placement suggests it is a reliable participant in the market for 15-minute case management without being a market leader.

For the monthly case management code T2022 the provider ranks #14 of 23 providers in-state (41th percentile; typical, unremarkable volume for this code), which reflects below-median activity on that modality of billing. The combination of a strong T1016 footprint and a weaker T2022 standing implies the organization bills more intensively on time-segmented visits rather than on flat monthly case management arrangements.

The NPI was enumerated on 2008-03-21 (~18 years ago), indicating the provider has been active for nearly two decades; this tenure is consistent with an established, service-focused organization rather than a new entrant. Longevity may support stable referral relationships and operational experience in Medicaid case management billing.

From a statistical-profile perspective there are no extreme outliers called out in the supplied labels—both codes are described as "typical, unremarkable volume"—but the financial profile is nevertheless concentrated, with one code (T1016) driving the majority of revenue. Analysts should therefore treat this as a long-standing, Medicaid-dependent case management provider with concentrated service-line risk centered on 15-minute case management billing.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	120,440	$80	$10.1M
T2022	Case management, per month	3,360	$260	$872.6K

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

Brain Injury Association Of Nh — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	9	30	35,170	$170	$12.5M
T2022	Case management, per month	14	20	4,510	$240	$3.5M

Nearby Providers

Other providers in the same ZIP code as Brain Injury Association Of Nh, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Bridges	NH	Case Management Agency	$0	$265.5M
Riverbend Community Mental Health, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$118.4M
Granite State Independent Living	NH	In Home Supportive Care Agency	$0	$74.7M
Ascentria Community Services, Inc	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$52.6M
Ascentria Community Care, Inc	NH	Voluntary or Charitable Agency	$0	$50.3M
Concord Hospital, Inc.	NH	General Acute Care Hospital	$0	$28.8M
Concord Pediatric Dentistry	NH	Pediatric Dentistry	$0	$13.6M
New England Life Care, Inc.	NH	Home Infusion Therapy Pharmacy	$0	$11.4M
New Hampshire Home Care Providers LLC	NH	In Home Supportive Care Agency	$0	$11M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$404K	$10.4M

Brain Injury Association Of Nh — Billing Profile & Reimbursement Data

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Brain Injury Association Of Nh — 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

Nearby Providers

Frequently Asked Questions

References