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.

Lrghealthcare (NPI 1700976032)

Lrghealthcare is a family medicine physician provider located in Laconia, New Hampshire. This profile covers 0 Medicare and 63 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	Lrghealthcare
Address	85 Spring St
City	Laconia
State	NH
ZIP	03246
Taxonomy	Family Medicine Physician
NPI Enumerated	October 16, 2006

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

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

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	27,300	$40	$955.4K
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…	13,200	$50	$620.4K
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.	9,500	$40	$399.1K
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.	11,720	$30	$375K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	10,660	$10	$95.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,540	$60	$92.2K
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.	3,050	$20	$63.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	960	$60	$57.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	810	$60	$49.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,100	$10	$30.5K

Showing 1–10 of 63

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

Lrghealthcare — 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

63 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.	45	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.	25	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.	16	70	2,540	$110	$733.8K
H0038	Self‑help/peer services, per 15 minutes	28	30	620	$60	$231.9K
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…	34	420	480	$50	$223.9K
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.	18	50	2,010	$80	$209.6K
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…	18	400	350	$30	$140.6K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	35	40	3,720	$20	$129K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	37	70	140	$90	$100.8K
H0001	Alcohol and/or drug assessment	29	40	180	$130	$71.5K

Showing 1–10 of 63

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Concord Hospital-franklin	NH	Critical Access Hospital	$0	$7.3M
Concord Hospital-franklin	NH	Rural Health Clinic/Center	$0	$3.6M
Sumit Kunwar	MD	Rheumatology Physician	$724.6K	$0
Michael Buff	NH	Hematology & Oncology Physician	$387.2K	$0
Vercin Ephrem	NH	Internal Medicine Physician	$192.9K	$0
Nino Idoidze	IL	Hospitalist Physician	$139.4K	$48.3K
Bikash Chapagain	CA	Nephrology Physician	$181.3K	$0
Raymond Suarez	NH	Psychiatry Physician	$111.8K	$0
Nadia Malik	NH	Internal Medicine Physician	$96.9K	$1.8K
Valentin Milchev	NH	Internal Medicine Physician	$85.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakes Region Community Services Council	NH	Early Intervention Provider Agency	$0	$149M
The Lakes Region Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$57.1M
Concord Hospital-laconia	NH	General Acute Care Hospital	$0	$9.3M
Laconia Housing & Redevelopment Authority	NH	Home Health Agency	$0	$6.6M
Healthfirst Family Care Center, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$5.1M
Concord Hospital-laconia	NH	Medicare Defined Swing Bed Hospital Unit	$0	$2.9M
Concord Hospital-laconia	NH	Family Medicine Physician	$0	$2.5M
Laconia School District	NH	Local Education Agency (LEA)	$0	$2.4M
Sobriety Centers Of New Hampshire	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.7M
City Of Laconia	NH	Land Ambulance	$393K	$614.8K

Lrghealthcare — Billing Profile & Reimbursement Data

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Lrghealthcare — 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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