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.

Appledore Medical Group, Inc (NPI 1720077167)

Field	Value
Entity Type	Organization
Organization	Appledore Medical Group, Inc
Address	100 Eileen Dondero Foley Ave Ste 300
City	Portsmouth
State	NH
ZIP	03801
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 18, 2005

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

58 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…	11,750	$40	$517.1K
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…	10,290	$40	$360K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	9,340	$20	$140.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,700	$60	$105.2K
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…	1,510	$60	$90.3K
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…	530	$60	$30.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	5,870	$1	$23.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	340	$60	$20.6K
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,…	510	$30	$14.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	2,280	$10	$13.7K

Showing 1–10 of 58

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

Appledore Medical Group, Inc — 0 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

58 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…	40	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…	43	400	350	$30	$140.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	19	40	280	$80	$107.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	60	70	140	$90	$100.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	6	50	490	$20	$65.9K
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…	11	60	580	$70	$61.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8	60	400	$70	$56.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	22	30	260	$30	$51.5K
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…	48	100	170	$70	$51.3K
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…	20	50	370	$60	$47.4K

Showing 1–10 of 58

Related Providers

Other providers that share a Tax Identification Number (TIN) with Appledore Medical Group, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catholic Medical Center	NH	General Acute Care Hospital	$0	$19.8M
Catholic Healthcare Trust	NH	Federally Qualified Health Center (FQHC)	$0	$1.3M
Frisbie Memorial Hospital	NH	Specialist	$0	$1.2M
Todd Daugherty	NH	Rheumatology Physician	$1.1M	$0
Salman Ghiasuddin	MA	Interventional Cardiology Physician	$561.3K	$0
Ayobami Ojutalayo	MA	Family Medicine Physician	$521.7K	$1.6K
Catholic Medical Center	NH	Cardiovascular Disease Physician	$0	$489.4K
Catholic Medical Center	NH	General Acute Care Hospital	$0	$472.3K
Cmc D/b/a Urgent Care At Bedford Medical Park	NH	Urgent Care Clinic/Center	$0	$306.3K
Rajesh Mohan	NJ	Cardiovascular Disease Physician	$301.9K	$0

Nearby Providers

Other providers in the same ZIP code as Appledore Medical Group, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Viii, One Sky Community Services Inc.	NH	Case Management Agency	$0	$192.2M
Novocure Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$113.1M
Seacoast Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$74.2M
Hca Health Services Of New Hampshire Inc	NH	General Acute Care Hospital	$0	$18.8M
Pmc Medical Group, LLC	NH	General Practice Physician	$392K	$11.2M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.6M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Portsmouth School Department	NH	Local Education Agency (LEA)	$0	$2.6M
Preferred Home Health Care And Nursing Services	NH	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Watterworth Orthodontics, PA	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M

Appledore Medical Group, Inc — Billing Profile & Reimbursement Data

Sign up for Appledore Medical Group, Inc — Billing Profile & Reimbursement Data policy alerts

Appledore Medical Group, Inc — Billing Profile & Reimbursement Data

Sign up for Appledore Medical Group, Inc — 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