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.

Elliot Physicians Network (NPI 1831191659)

Elliot Physicians Network is a family medicine physician provider located in Manchester, New Hampshire. This profile covers 0 Medicare and 45 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Elliot Physicians Network
Address	1070 Holt Avenue
City	Manchester
State	NH
ZIP	03109
Taxonomy	Family Medicine Physician
NPI Enumerated	August 11, 2005

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

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

45 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…	44,160	$50	$2.2M
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…	45,640	$40	$1.7M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,910	$60	$186K
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…	2,200	$60	$140.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	23,970	$10	$119.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,090	$60	$69.8K
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.	10,380	$10	$62.3K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	14,900	$1	$44.7K
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…	650	$70	$42.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	7,390	$10	$36.9K

Showing 1–10 of 45

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

Elliot Physicians Network — 7 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

45 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…	8	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…	10	400	350	$30	$140.6K
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…	7	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.	4	60	400	$70	$56.1K
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…	23	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…	23	50	370	$60	$47.4K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	16	30	520	$50	$40.7K
99204	The provider sees a new 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 provider…	55	110	90	$80	$31.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5	50	170	$70	$28K
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,…	51	110	170	$20	$26.2K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Illinois Healthcare Foundation, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$7.9M
Manish Chopra	NH	Geriatric Medicine (Internal Medicine) Physician	$171.7K	$0
Todd Mellish	NH	Internal Medicine Physician	$162.6K	$0
Sonia Joslin	NH	Family Nurse Practitioner	$150.8K	$0
Samuel Goldman	NH	Geriatric Medicine (Internal Medicine) Physician	$148.2K	$0
James Fitzgerald	NH	Family Medicine Physician	$131.6K	$0
Heidi Battistelli	NH	Family Nurse Practitioner	$118.6K	$0
Muhammad Pasha	NH	Geriatric Medicine (Family Medicine) Physician	$103.9K	$0
Everline Osanya	NH	Gerontology Nurse Practitioner	$103.1K	$0
Shannon Duclos	NH	Family Nurse Practitioner	$97.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elliot Professional Services	NH	Internal Medicine Physician	$0	$12.8M
Rehabilitation Equipment Associates Inc	NH	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Vna Home Health & Hospice Services, Inc.	NH	Home Health Agency	$0	$3M
Vna Personal Services Inc	NH	Home Health Agency	$0	$1.9M
Birch Behavioral Therapy LLC	NH	Behavior Analyst	$0	$1M
Elliot Hospital Of The City Of Manchester	NH	Durable Medical Equipment & Medical Supplies	$0	$381.9K
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$293.9K
4u Case Management	NH	Case Management Agency	$0	$181K
Cvs Manchester Nh, L.L.C.	NH	Pharmacy	$180.4K	$0
Maxi Drug North Inc	NH	Community/Retail Pharmacy	$130.2K	$40

Elliot Physicians Network — Billing Profile & Reimbursement Data

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Elliot Physicians Network — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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