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.

Androscoggin Valley Hospital Inc (NPI 1679526644)

Androscoggin Valley Hospital Inc is a general practice physician provider located in Berlin, New Hampshire. This profile covers 0 Medicare and 18 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	Androscoggin Valley Hospital Inc
Address	7 Page Hill Rd
City	Berlin
State	NH
ZIP	03570
Taxonomy	General Practice Physician
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$333.2K
Medicare	$0

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

18 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…	7,760	$30	$240.7K
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…	2,670	$20	$40.1K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7,240	$1	$21.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,010	$10	$6.1K
99203	The provider sees a new 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 provider…	190	$30	$5.9K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	440	$10	$4.4K
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…	100	$40	$3.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	270	$10	$3.5K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	110	$20	$2.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	80	$20	$1.9K

Showing 1–10 of 18

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

Androscoggin Valley Hospital Inc — 0 of 17 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

18 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…	56	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…	108	400	350	$30	$140.6K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	12	30	3,550	$10	$105.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	64	70	1,030	$20	$76.6K
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…	95	100	170	$70	$51.3K
99205	The provider sees a new 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 provider…	30	30	100	$120	$41.3K
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…	49	110	90	$80	$31.3K
99203	The provider sees a new 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 provider…	50	110	120	$40	$30.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	20	50	650	$1	$26.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	38	110	170	$20	$26.2K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Androscoggin Valley Hospital, Inc.	NH	Critical Access Hospital	$0	$8.3M
Weeks Medical Center	NH	Clinic/Center	$0	$4.6M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Weeks Medical Center	NH	Critical Access Hospital	$0	$3.5M
Weeks Medical Center	NH	Clinic/Center	$0	$3.5M
Weeks Medical Center	NH	Clinic/Center	$0	$988.8K
Eliot Foley	NH	Retina Specialist (Ophthalmology) Physician	$935.8K	$0
Weeks Medical Center	NH	Community/Behavioral Health Agency	$0	$594.6K
Weeks Medical Center	NH	Multi-Specialty Clinic/Center	$0	$561.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coos County Family Health Services, Inc	NH	Federally Qualified Health Center (FQHC)	$0	$12.2M
The Family Resource Center At Gorham	NH	In Home Supportive Care Agency	$0	$1.3M
Berlin Public Schools	NH	Local Education Agency (LEA)	$0	$1.2M
Berlin Emergency Medical Services Inc	NH	Land Ambulance	$338.5K	$376.2K
Coos County Family Health Services	NH	General Practice Dentistry	$0	$668K
The Family Resource Center At Gorham	NH	Community/Behavioral Health Agency	$0	$663.7K
Androscoggin Valley Home Care Services	NH	Home Health Agency	$0	$329.8K
Coos North Country Radiology P.L.L.C.	NH	Diagnostic Radiology Physician	$0	$207.7K
Donna Comire	NH	Psychiatric/Mental Health Nurse Practitioner	$88.2K	$0
Coos County Family Health Services, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$54.2K

Androscoggin Valley Hospital Inc — Billing Profile & Reimbursement Data

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Androscoggin Valley Hospital Inc — 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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