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.

Waypoint (NPI 1780736504)

Field	Value
Entity Type	Organization
Organization	Waypoint
Address	464 Chestnut St
City	Manchester
State	NH
ZIP	03101
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicaid	$20.8M
Medicare	$0

Key Findings

WAYPOINT has no Medicare billing on file and reports $20.8M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operator based on available claims data. Analysts should treat Medicaid as the primary — and near-exclusive — source of fee-for-service revenue for this entity.

Revenue is highly concentrated in a small set of Medicaid service lines: the top three Medicaid codes (H0040, H2022, T1019) account for 64.0% of this provider’s total Medicaid revenue. The three codes break down as H0040 $6.6M (31.8%), H2022 $5M (23.9%), and T1019 $1.7M (8.3%), indicating a majority of income derives from these program- and per-diem-oriented services.

The code mix points to a community-based behavioral health and long-term support model: H0040 (Assertive community treatment program, per diem) and H2022 (Community-based wrap-around services, per diem) are the two largest revenue drivers, and substantial volumes of T1019 (Personal care services, per 15 minutes), T1016 (Case management), and T1030 (Nursing care, in the home, per diem) show the organization delivers both per-diem program services and high-frequency, time-based in-home supports. This combination of per-diem program payments and minute/visit-based personal care suggests operations centered on sustained community support rather than episodic outpatient or inpatient care.

WAYPOINT’s competitive standing is mixed across its leading codes within New Hampshire. For H2022 it ranks #3 of 15 providers (86th percentile), indicating above-typical state volume for wrap-around per-diem services; H0040 ranks #6 of 12 (55th percentile), a middling position among ACT providers; and T1019 ranks #18 of 43 (60th percentile), a typical to modest share among personal-care providers.

There are notable state-level volume outliers outside the top-three revenue drivers that inform operational emphasis: S5130 (Homemaker service, nos; per 15 minutes) generates $723.7K (3.5% of Medicaid revenue) and ranks #2 of 23 providers (95th percentile), described as notably above typical state volume. T1030 (Nursing care, in the home, per diem) also shows relatively high placement at #9 of 45 (82th percentile), suggesting stronger-than-typical capacity in in-home skilled nursing alongside homemaker and personal-care services.

Billing unit patterns reinforce a dual operational profile of high-frequency, low-dollar-unit services and lower-frequency, high-dollar per-diem programs: H2022 reports 31.7K claims with $157 avg paid/claim, T1019 reports 25.9K claims with $67 avg paid/claim, while H0040 reports 4.6K claims with a much larger $1429 avg paid/claim. This mix implies substantial ongoing client contact via wrap-around and personal-care visits coupled with program-level per-diem funding for intensive community treatment.

WAYPOINT’s NPI was enumerated on 2007-01-18 (~19 years ago), indicating long tenure in the market; combined with its concentrated Medicaid revenue and above-typical volumes in specific community-support codes, this tenure suggests an established local footprint in New Hampshire’s behavioral health and home/community-based services ecosystem.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	4,630	$1,430	$6.6M
H2022	Community-based wrap-around services, per diem	31,680	$160	$5M
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…	25,900	$70	$1.7M
T1016	Case management, each 15 minutes	4,650	$340	$1.6M
T1030	Nursing care, in the home, by registered nurse, per diem	15,460	$100	$1.5M
99341	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…	1,540	$710	$1.1M
H0043	Supported housing, per diem	660	$1,530	$1M
T1027	Family training and counseling for child development, per 15 minutes	11,240	$80	$943.9K
S5130	Homemaker service, nos; per 15 minutes	19,050	$40	$723.7K
T1021	Home health aide or certified nurse assistant, per visit	9,110	$30	$264.1K

Showing 1–10 of 17

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

Waypoint — 1 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	21	30	35,170	$170	$12.5M
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…	18	40	18,730	$140	$6.5M
H2022	Community-based wrap-around services, per diem	3	20	3,860	$200	$5M
H0040	Assertive community treatment program, per diem	6	10	3,700	$270	$2.8M
H0043	Supported housing, per diem	7	10	1,780	$180	$1.6M
99341	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…	3	10	1,220	$480	$870.2K
90847	A 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…	20	30	600	$90	$719.5K
T1030	Nursing care, in the home, by registered nurse, per diem	9	50	3,690	$90	$715.1K
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	2	10	360	$240	$527.9K
T1027	Family training and counseling for child development, per 15 minutes	8	30	2,010	$80	$516.4K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Waypoint, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Siddharth Services, Inc.	NH	Foster Care Agency	$0	$23.8M
Crotched Mountain Community Care	NH	Case Management Agency	$0	$20.6M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$20.2M
Community Integrated Services, Inc	NH	Community/Behavioral Health Agency	$0	$17M
Northeast Family Services Of New Hampshire, Inc.	NH	Community/Behavioral Health Agency	$0	$15.4M
Independent Services Network, Inc.	NH	Community/Behavioral Health Agency	$0	$14M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$11.6M
Habit Opco, LLC	NH	Methadone Clinic	$539.9K	$4.3M
Impress Healthcare Corporation	NH	In Home Supportive Care Agency	$0	$3.1M
Economy Vision	NH	Optometrist	$0	$2.2M

Waypoint — Billing Profile & Reimbursement Data

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Waypoint — 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

Nearby Providers

Frequently Asked Questions

References