Loading...
NPI 1720151830 · Manchester, NH · Substance Use Disorder Rehabilitation Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Manchester Alcoholism Rehabilitation Center is a substance use disorder rehabilitation clinic/center provider located in Manchester, New Hampshire. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Manchester Alcoholism Rehabilitation Center |
| Address | 700 Lake Ave Ste 2 |
| City | Manchester |
| State | NH |
| ZIP | 03103 |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| NPI Enumerated | November 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $16M |
| Medicare | $0 |
This provider has no Medicare billing on file and reports $16M in lifetime Medicaid revenue, making it effectively a Medicaid-centric operator rather than a dual-payer practice. The NPI was enumerated on 2006-11-16 (~20 years ago), indicating an established presence in the market.
Revenue is highly concentrated: the top three Medicaid codes (H0018, H0010, H0015) account for 92.8% of the provider’s total Medicaid revenue, which signals dependency on a narrow set of service lines for the bulk of receipts. H0018 alone generates $10M (62.6% of Medicaid revenue) while H0010 contributes $4.3M (26.8%) and H0015 $538.7K (3.4%).
The code mix and descriptions indicate a primary operational focus on residential and detox services rather than ambulatory medical care: H0018 is short-term residential (non-hospital residential treatment program), per diem, and H0010 is sub-acute detoxification (residential addiction inpatient), with H0015 showing a smaller intensive outpatient component. The high per-claim average for H0010 ($327 avg paid/claim) versus H0018 ($178 avg paid/claim) is consistent with higher-intensity, resource-heavy detox services.
Competitive standing varies by service line. For sub-acute detox (H0010) the provider ranks #1 of 7 in-state and sits at the 100th percentile (notably above typical state volume), indicating a dominant position in that niche, while for short-term residential (H0018) it ranks #3 of 14 at the 85th percentile (characterized in the data as typical, unremarkable volume).
Assessment and intake activity is also a meaningful operational input: H0001 (Alcohol and/or drug assessment) accounts for $264.1K (1.7% of Medicaid revenue) and ranks #2 of 41 providers in-state at the 98th percentile (notably above typical state volume), suggesting the provider performs high volumes of initial assessments relative to peers.
Routine outpatient evaluation/management activity is present but secondary: 99213 and 99214 together contribute roughly $212K of revenue ($110.7K and $101.2K respectively), each under 1% of Medicaid revenue, which indicates limited office-based E/M care compared with residential/detox services. Additional counseling and group codes (H0004, H0005, 90853) produce comparatively small revenue streams, confirming a treatment model weighted toward residential and detox.
Given the extreme concentration in a few per-diem and detox codes (top 3 = 92.8% of Medicaid revenue), the provider’s financial performance and capacity utilization are likely sensitive to Medicaid reimbursement changes or policy shifts affecting H0018 and H0010. Operational planning and payer negotiations should therefore prioritize maintaining access and favorable rates for these two codes.
Beyond its dominant detox role, the provider’s footprint shows modest participation across other behavioral health codes in-state (many ranks in the 70–83rd percentile described as typical, unremarkable volume), suggesting it is a specialized center that also provides standard counseling, assessment, and some outpatient services but does not broadly compete across all behavioral health categories statewide.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 56,170 | $180 | $10M |
| H0010 | Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient) | 13,090 | $330 | $4.3M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 5,330 | $100 | $538.7K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4,450 | $100 | $463.1K |
| H0001 | Alcohol and/or drug assessment | 1,870 | $140 | $264.1K |
| H2036 | Alcohol and/or other drug treatment program, per diem | 950 | $160 | $150.6K |
| 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… | 2,010 | $60 | $110.7K |
| 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… | 1,950 | $50 | $101.2K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 2,680 | $20 | $59K |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 300 | $10 | $3.6K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Hampshire median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 3 | 10 | 9,810 | $190 | $4M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 12 | 20 | 5,280 | $230 | $3.6M |
| H0010 | Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient) | 1 | 10 | 3,970 | $400 | $1.7M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 6 | 30 | 500 | $110 | $455.7K |
| 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… | 130 | 420 | 480 | $50 | $223.9K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 12 | 70 | 1,260 | $80 | $202.1K |
| 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… | 120 | 400 | 350 | $30 | $140.6K |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 20 | 30 | 1,020 | $30 | $113.7K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 7 | 30 | 340 | $20 | $72.6K |
| H0001 | Alcohol and/or drug assessment | 2 | 40 | 180 | $130 | $71.5K |
Showing 1–10 of 12
Other providers in the same ZIP code as Manchester Alcoholism Rehabilitation Center, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.