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.

Easter Seals New Hampshire, Inc (NPI 1730251430)

Field	Value
Entity Type	Organization
Organization	Easter Seals New Hampshire, Inc
Address	555 Auburn St
City	Manchester
State	NH
ZIP	03103
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicaid	$63.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused organization: there is no Medicare billing on file and the provider reports $63.1M in total Medicaid revenue, indicating its revenue scale is concentrated entirely in the Medicaid program rather than split across Medicare and Medicaid. The NPI was enumerated on 2006-11-15 (~20 years ago), so the provider has an established, long-tenured presence in the state Medicaid market.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes (H0019, T1019, H2022) account for 89.5% of this provider’s total Medicaid revenue. Specifically, H0019 accounts for $41.6M revenue (66.0% of this provider's total Medicaid revenue), T1019 accounts for $12.1M revenue (19.2% of this provider's total Medicaid revenue), and H2022 accounts for $2.8M revenue (4.4% of this provider's total Medicaid revenue).

The code mix signals an operations model built around residential and home/community-based supports: H0019 is long-term residential behavioral health per diem while T1019 is high-volume personal care services billed per 15 minutes and H2022 covers community-based wrap-around services per diem. The dominance of per-diem residential coding (H0019) combined with very large volumes of per-15-minute personal care (T1019) implies the organization runs both facility-based residential programs and high-frequency in-home support services.

Operational scale for labor-intensive personal care is evident in activity metrics: T1019 shows 134.3K claims with a $90 avg paid/claim generating $12.1M revenue (19.2% of this provider's total Medicaid revenue), indicating a high-volume, recurring visit model typical of personal care and attendant services. By contrast, H0019 has 11.6K claims with a much higher avg paid/claim ($3578) and $41.6M revenue (66.0% of this provider’s Medicaid revenue), reflecting fewer but much higher-cost residential per-diem placements.

Statewide competitive standing is mixed by code: for H0019 the provider ranks #3 of 13 providers in-state (83th percentile; typical, unremarkable volume for this code), and for T1019 it ranks #4 of 43 providers in-state (93th percentile; typical, unremarkable volume for this code), which together suggest the business is a leading but not singular provider in these core Medicaid service lines. H2022 ranks #7 of 15 providers in-state (57th percentile; typical, unremarkable volume for this code), indicating more modest market share in community wrap-around services relative to peers.

The provider exhibits clear statistical outlier behavior in specific non-core codes tied to day- and home-based supports: S5102 (Day care services, adult; per diem) shows 27.7K claims and $1.5M revenue and ranks #1 of 13 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), while S5130 (Homemaker service, nos; per 15 minutes) shows 19.6K claims and $1.3M revenue and ranks #1 of 23 providers in-state (100th percentile; notably above typical state volume for this code). These outlier positions point to an unusually large footprint in adult day care and homemaker services within the state.

Although revenue is concentrated in a few codes, the provider bills across a range of ancillary home health, nursing, behavioral health, and dental codes at much smaller levels—examples include G0156 ($431.2K revenue), T1030 ($310.4K revenue), and several dental codes (D0140 $80.4K, D1120 $44.4K). Each of these ancillary codes generally ranks in the typical range among in-state peers, suggesting these services supplement the core residential and personal-care business rather than drive it.

Taken together, the tenure (NPI enumerated 2006-11-15 (~20 years ago)), the concentrated revenue base (89.5% from the top three Medicaid codes), and the combination of high-cost residential billing (H0019) plus very high-volume personal care claims (T1019, S5102, S5130) paint a picture of an established Medicaid-centered provider with integrated residential, day-program, and in-home support operations and a dominant local presence in adult day care and homemaker services.

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	11,620	$3,580	$41.6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	134,320	$90	$12.1M
H2022	Community-based wrap-around services, per diem	4,740	$580	$2.8M
H0040	Assertive community treatment program, per diem	2,770	$850	$2.4M
S5102	Day care services, adult; per diem	27,680	$50	$1.5M
S5130	Homemaker service, nos; per 15 minutes	19,580	$60	$1.3M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	4,310	$100	$431.2K
T1030	Nursing care, in the home, by registered nurse, per diem	2,570	$120	$310.4K
T1027	Family training and counseling for child development, per 15 minutes	750	$240	$182K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,030	$50	$99.6K

Showing 1–10 of 33

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

Easter Seals New Hampshire, Inc — 2 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	3	10	5,180	$1,400	$17.7M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	4	40	18,730	$140	$6.5M
H2022	Community-based wrap-around services, per diem	7	20	3,860	$200	$5M
H0040	Assertive community treatment program, per diem	7	10	3,700	$270	$2.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	8	20	1,120	$150	$1.7M
T1030	Nursing care, in the home, by registered nurse, per diem	26	50	3,690	$90	$715.1K
T1027	Family training and counseling for child development, per 15 minutes	20	30	2,010	$80	$516.4K
S5102	Day care services, adult; per diem	1	10	2,090	$90	$438.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	71	130	520	$50	$338.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	56	190	500	$70	$286.7K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Easter Seals New Hampshire, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals New Hampshire, Inc	NH	Home Health Agency	$0	$3.4M

Nearby Providers

Other providers in the same ZIP code as Easter Seals New Hampshire, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mental Health Center Of Greater Manchester	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$143.9M
Elliot Hospital Of The City Of Manchester	NH	General Acute Care Hospital	$0	$60.5M
Easter Seals New Hampshire, Inc	NH	Developmental Disabilities Clinic/Center	$0	$37.9M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$859.8K	$15.4M
Manchester Alcoholism Rehabilitation Center	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16M
Minuteman Medical Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$15M
Factor Dental, Inc	NH	Point of Service	$0	$12.5M
Bayada Home Health Care, Inc.	NH	Home Health Agency	$0	$9.3M
Lifeshare Management Group, Inc.	NH	In Home Supportive Care Agency	$0	$8.7M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.3M

Easter Seals New Hampshire, Inc — Billing Profile & Reimbursement Data

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Easter Seals New Hampshire, Inc — Billing Profile & Reimbursement Data

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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