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    OpenPayerNPI Medicare & MedicaidCommunity Council Of Nashua Nh, Inc.
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    Community Council Of Nashua Nh, Inc. — Billing Profile & Reimbursement Data

    NPI 1770588444 · Nashua, NH · Mental Health Clinic/Center (Including Community Mental Health Center)

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    Community Council Of Nashua Nh, Inc. is a mental health clinic/center (including community mental health center) provider located in Nashua, New Hampshire. This profile covers 0 Medicare and 34 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Council Of Nashua Nh, Inc.
    Address7 Prospect St
    CityNashua
    StateNH
    ZIP03060
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedJune 17, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$75.7M
    Medicare$0

    Key Findings

    This provider is effectively single-payer at scale: there is no Medicare billing on file and lifetime Medicaid revenue is $75.7M, so Medicaid is the operational and financial driver of the organization’s activity. Analysts should treat Medicaid trends as representative of the provider’s overall business rather than splitting focus between payers.

    Revenue is highly concentrated in a very small set of Medicaid services: the top three Medicaid codes (T1016, H2019, 90837) account for 77.4% of this provider’s total Medicaid revenue. Those three codes individually contribute $38.1M (T1016, 50.4%), $15.5M (H2019, 20.5%), and $5M (90837, 6.6%), making them the dominant revenue streams to monitor for utilization and policy changes.

    The code mix signals a classic community mental health / care-coordination model: T1016 (case management) and H2019 (therapeutic behavioral services) dominate revenue alongside high-volume psychotherapy (90837 and 90834). This pattern points to an operation focused on time-based community supports, intensive behavioral interventions, and face-to-face psychotherapy rather than procedure- or procedure-bundled revenue.

    Competitive standing is mixed by service type: for case management (T1016) the provider ranks #8 of 33 in-state (78th percentile) and is described as typical/unremarkable for that code, indicating solid but not dominant market share in case management. By contrast, for therapeutic behavioral services (H2019) the provider ranks #5 of 33 (88th percentile) and is noted as notably above typical state volume, showing a stronger regional position in behavioral supports.

    The provider is a statewide leader in long psychotherapy sessions: 90837 ranks #3 of 194 providers in-state (99th percentile) and is labeled an extreme outlier, indicating exceptionally high volume of 53+-minute psychotherapy relative to peers. This extreme outlier status suggests either a clinical specialization in long-form psychotherapy or a high concentration of patients receiving intensive individual therapy.

    Several other codes further underscore clinical breadth and intensity: H0034 (medication training and support) is #1 of 10 in-state (100th percentile) and noted as notably above typical, while 90834 (38–52 minute psychotherapy) ranks #5 of 133 (97th percentile) and 99214 ranks #9 of 416 (98th percentile). Together these ranks indicate strong capacity across psychotherapy durations, medication support, and complex outpatient evaluation-and-management visits.

    Operationally, much of the revenue base is tied to time‑based, per-15-minute reimbursement structures (T1016, H2019, H2023, H2015, H0004), which implies revenue sensitivity to care‑team staffing levels, visit duration, and documentation practices. Heavy reliance on time‑incremented codes means utilization management or rate changes to these services would materially affect cash flow.

    The provider has an established presence in the market, with NPI enumeration on 2005-06-17 (~21 years ago), and combines that tenure with concentrated Medicaid strength. That combination — long tenure plus extreme outlier/very high percentile rankings on key therapy codes — positions the organization as a mature community behavioral health center with a substantial Medicaid contracting footprint in New Hampshire, but also exposes it to single-payer concentration risk given the absence of Medicare revenue.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1016Case management, each 15 minutes126,950$300$38.1M
    H2019Therapeutic behavioral services, per 15 minutes171,990$90$15.5M
    90837In 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…58,960$80$5M
    90834In 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…63,210$40$2.8M
    99214The 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…41,180$60$2.4M
    H2023Supported employment, per 15 minutes22,370$90$2.1M
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…17,030$90$1.6M
    H0034Medication training and support, per 15 minutes65,770$20$1.6M
    H2015Comprehensive community support services, per 15 minutes12,330$80$1M
    H2011Crisis intervention service, per 15 minutes3,060$290$878.5K

    Showing 1–10 of 34

    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.

    Full comparison — all codes billed, vs. New Hampshire median

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1016Case management, each 15 minutes83035,170$170$12.5M
    H2019Therapeutic behavioral services, per 15 minutes5303,880$90$4.4M
    H2023Supported employment, per 15 minutes63011,450$120$2.3M
    H2015Comprehensive community support services, per 15 minutes113010,280$90$1.5M
    T1013Sign language or oral interpretive services, per 15 minutes21016,620$80$1.4M
    H2011Crisis intervention service, per 15 minutes8201,900$180$829.6K
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…630600$90$719.5K
    H0034Medication training and support, per 15 minutes11017,440$30$709.6K
    T1027Family training and counseling for child development, per 15 minutes15302,010$80$516.4K
    90846A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.6204,000$90$469.7K

    Showing 1–10 of 34

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Community Council Of Nashua Nh, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marilou Patalinjug TynerNHPsychiatry Physician$134.4K$0
    Angela AttardoNHPsychologist$89K$0
    Rebecca FerraNHPsychiatric/Mental Health Nurse Practitioner$50.5K$0
    Svetlana ValkovskaNHPsychiatric/Mental Health Nurse Practitioner$46.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Community Council Of Nashua Nh, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harbor Homes, Inc.NHFederally Qualified Health Center (FQHC)$0$23.4M
    Southern New Hampshire Medical CenterNHGeneral Acute Care Hospital$0$22.3M
    Life Coping Inc.NHCase Management Agency$0$17.6M
    King Healthcare Group LLCNHSubstance Use Disorder Rehabilitation Clinic/Center$0$15.1M
    Plus Co. Inc.NHIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$13.8M
    St Joseph Hospital Of Nashua NhNHGeneral Acute Care Hospital$0$13M
    Alpha Home Care Solutions, IncNHHome Health Agency$0$8.4M
    Lamprey Health Care IncNHFederally Qualified Health Center (FQHC)$0$8.1M
    Nashua Center For The Multiply Handicapped, Inc.NHIn Home Supportive Care Agency$0$6.8M
    Foundation Medical Partners IncNHInternal Medicine Physician$0$5.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicaid Revenue by Year vs. New Hampshire Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Community Council Of Nashua Nh, Inc. — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire