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.

Fmh Health Services, LLC (NPI 1689215030)

Key Findings

Field	Value
Entity Type	Organization
Organization	Fmh Health Services, LLC
Address	11 Whitehall Rd
City	Rochester
State	NH
ZIP	03867
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 7, 2019

Payer Source	Total Paid
Medicaid	$10M
Medicare	$0

FMH HEALTH SERVICES, LLC reports no Medicare billing on file and $10M in lifetime Medicaid revenue, making its current public reimbursement footprint effectively single-payer (Medicaid) rather than a mixed Medicare/Medicaid provider. This concentration means the facility’s financial exposure and negotiating leverage will be driven almost entirely by Medicaid rates and utilization patterns.

Revenue concentration is high: the precomputed top three Medicaid codes account for 56.2% of total Medicaid revenue, with 99283 generating $2.2M (25.6%), 99284 generating $2.1M (23.7%), and 74177 generating $607.6K (7.0%). These three codes alone dominate more than half of the provider’s Medicaid receipts, indicating a narrow set of services driving the bulk of payments.

The code mix points to an emergency-department-centric operating profile. High claim counts and revenues for ED evaluation-and-management codes — 99283 (18.3K claims, $122 avg paid/claim, $2.2M revenue), 99284 (11.1K claims, $186 avg paid/claim, $2.1M revenue), 99282 (5.1K claims, $85 avg paid/claim, $436.2K revenue) and 99285 (2.2K claims, $246 avg paid/claim, $551.3K revenue) — show routine throughput of low-to-moderate-acuity ED visits with a meaningful, but smaller, share of high-acuity visits.

FMH also shows substantial diagnostic and ancillary service activity consistent with an acute-care hospital: imaging and lab codes such as 74177 (1.5K claims, $404 avg paid/claim, $607.6K revenue), 70450 (1.5K claims, $207 avg paid/claim, $317.3K revenue), 80053 (17.7K claims, $6 avg paid/claim, $106.3K revenue) and 85027 (20.2K claims, $4 avg paid/claim, $80.6K revenue) reflect in-house CT, plain radiography and high-volume basic lab testing. This combination supports an ED-first care model that relies on on-site imaging and lab throughput.

Competitive standing by code is mixed within the state: for its largest driver 99283 the provider ranks #6 of 66 providers in-state (92th percentile; typical, unremarkable volume for this code), and for 99284 it ranks #15 of 76 (81th percentile; typical, unremarkable volume for this code), indicating a strong statewide presence in lower-to-moderate acuity ED care but not an outlier leader. By contrast, high-acuity ED care (99285) ranks #30 of 63 providers (53th percentile; typical, unremarkable volume), suggesting FMH is less prominent for the highest-acuity emergency visits.

There are notable above-typical volumes in specific ancillary areas that may represent operational strengths: U0003 (SARS-CoV-2 testing) ranks #3 of 36 providers in-state (94th percentile; typical, unremarkable volume), A0427 (ALS ambulance emergency transport) ranks #4 of 50 (94th percentile; notably above typical state volume for this code), and 85027 (CBC) ranks #2 of 34 (97th percentile; notably above typical state volume for this code). These rankings indicate the provider handles elevated volumes of COVID testing, ambulance-referred emergencies, and basic lab work compared with most in-state peers.

The Medicaid revenue and service mix imply concentration risk and operational focus: with $10M in Medicaid revenue and no Medicare billing on file, FMH’s financial and utilization performance will be particularly sensitive to Medicaid policy, rate changes, and managed-care arrangements that affect ED, imaging, and lab reimbursement. Any strategic efforts to diversify payer mix or to shift case mix away from ED-driven throughput would materially change revenue dynamics.

FMH’s NPI was enumerated on 2019-10-07 (~7 years ago), indicating relatively recent enrollment compared with many established hospitals; this tenure should be considered when evaluating historical trends and potential growth trajectories in state Medicaid volumes and network positioning.

Medicaid: Complete Services Breakdown

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

168 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	18,280	$120	$2.2M
99284	The 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.	11,090	$190	$2.1M
74177	The 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.	1,500	$400	$607.6K
99285	The 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.	2,240	$250	$551.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	5,130	$90	$436.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	7,820	$50	$398.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,590	$60	$324.3K
70450	The 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.	1,530	$210	$317.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	570	$470	$265.2K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	4,380	$50	$227.9K

Showing 1–10 of 168

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

Fmh Health Services, LLC — 1 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

168 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The 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.	30	60	1,820	$150	$756.5K
99284	The 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.	15	80	2,220	$120	$745.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	6	70	2,540	$110	$733.8K
74177	The 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.	21	50	1,150	$230	$480.4K
G0378	Hospital observation service, per hour	18	20	1,390	$190	$406.3K
70450	The 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.	22	50	1,250	$90	$224K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	6	50	2,010	$80	$209.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	21	50	1,240	$40	$195.1K
97110	Therapeutic 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…	35	130	1,320	$40	$184.3K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	26	60	1,020	$30	$172.2K

Showing 1–10 of 168

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health And Developmental Services Of Strafford County, Inc	NH	Community/Behavioral Health Agency	$0	$38.6M
Bonfire Behavioral Health LLC	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$7.2M
Easter Seals New Hampshire, Inc	NH	Home Health Agency	$0	$3.4M
Rochester School District	NH	Local Education Agency (LEA)	$0	$3.1M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$2M
Bio-medical Applications Of New Hampshire, Inc.	NH	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Jordan Family Eyecare Inc	NH	Optometrist	$0	$896K
Cornerstone Vna	NH	Home Health Agency	$0	$655.8K
Lincare Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$607.6K
Hope On Haven Hill, Inc	NH	Substance Abuse Rehabilitation Facility	$0	$335.4K

Fmh Health Services, LLC — Billing Profile & Reimbursement Data

Sign up for Fmh Health Services, LLC — Billing Profile & Reimbursement Data policy alerts

Fmh Health Services, LLC — Billing Profile & Reimbursement Data

Sign up for Fmh Health Services, LLC — Billing Profile & Reimbursement Data policy alerts

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frisbie Memorial Hospital	NH	General Acute Care Hospital	$0	$4.8M
Frisbie Memorial Hospital	NH	Specialist	$0	$1.2M