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.

Plus Co. Inc. (NPI 1831775634)

Field	Value
Entity Type	Organization
Organization	Plus Co. Inc.
Address	19 Chestnut St
City	Nashua
State	NH
ZIP	03060
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	March 22, 2021

Payer Source	Total Paid
Medicaid	$13.8M
Medicare	$0

Key Findings

PLUS CO. INC. reports Total Medicare revenue: none (no Medicare billing on file) and Total Medicaid revenue: $13.8M, making the organization effectively a single-payer Medicaid provider in the available claims data. The absence of Medicare activity indicates public reimbursement exposure is concentrated in state Medicaid programs rather than in Medicare fee-for-service or Medicare Advantage cohorts.

The provider’s NPI was enumerated on 2021-03-22 (~5 years ago), indicating it has been an enrolled billing entity for a relatively short to moderate tenure compared with long-established institutional providers. This tenure is long enough to have established recurring Medicaid patterns but still recent relative to century-old or multi-decade providers.

Taxonomy and code mix point to a residential and community habilitation operation: as an Intellectual and/or Developmental Disabilities Residential Treatment Facility the top billed services are T1020 (personal care services, per diem), H2023 (supported employment, per 15 minutes), and T2021 (day habilitation, waiver; per 15 minutes). That combination indicates a service model emphasizing per-diem personal care in a residential context plus community integration and habilitation programming (vocational and day services).

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 95.2% of this provider's total Medicaid revenue, with a single code, T1020, representing 71.9% of Medicaid revenue. This degree of concentration means operational or policy changes affecting T1020 reimbursement or utilization could materially impact the provider’s financials.

T1020’s state competitive standing is moderate: it generates $9.9M (71.9% of this provider's total Medicaid revenue) from 44.4K claims and ranks #12 of 41 providers in-state (73th percentile; typical, unremarkable volume). That rank and percentile indicate the provider is a meaningful but not dominant participant in the state market for per-diem personal care.

H2023 and T2021 support the interpretation of a mixed residential/community model but show different competitive positions: H2023 produced $1.8M (12.8% of this provider's total Medicaid revenue) and ranks #10 of 29 in-state (68th percentile; typical, unremarkable volume), while T2021 produced $1.4M (10.5% of this provider's total Medicaid revenue) and ranks #23 of 39 in-state (42th percentile; typical, unremarkable volume). These ranks imply stronger relative presence in supported employment than in day habilitation within the state.

A fourth commonly billed code, H2015, accounted for $665.5K (4.8% of this provider's total Medicaid revenue) from 10.6K claims and ranks #12 of 27 in-state (58th percentile; typical, unremarkable volume). Across the listed codes, none are flagged as statistical outliers in the supplied descriptors; volumes are described consistently as typical or unremarkable rather than notably above or below norms.

Taken together, the profile shows a Medicaid-reliant residential habilitation provider with heavy dependence on T1020 (71.9%) and a substantial concentration (top 3 codes = 95.2%). From a payer or contracting perspective, scrutiny should focus on per-diem personal care authorization and utilization trends because shifts there would most directly affect the provider’s $13.8M Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, 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…	44,380	$220	$9.9M
H2023	Supported employment, per 15 minutes	17,220	$100	$1.8M
T2021	Day habilitation, waiver; per 15 minutes	9,490	$150	$1.4M
H2015	Comprehensive community support services, per 15 minutes	10,560	$60	$665.5K

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

Plus Co. Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, 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…	12	40	14,020	$330	$32.2M
T2021	Day habilitation, waiver; per 15 minutes	23	40	11,650	$170	$12.7M
H2023	Supported employment, per 15 minutes	10	30	11,450	$120	$2.3M
H2015	Comprehensive community support services, per 15 minutes	12	30	10,280	$90	$1.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Council Of Nashua Nh, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$75.7M
Harbor Homes, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$23.4M
Southern New Hampshire Medical Center	NH	General Acute Care Hospital	$0	$22.3M
Life Coping Inc.	NH	Case Management Agency	$0	$17.6M
King Healthcare Group LLC	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$15.1M
St Joseph Hospital Of Nashua Nh	NH	General Acute Care Hospital	$0	$13M
Alpha Home Care Solutions, Inc	NH	Home Health Agency	$0	$8.4M
Lamprey Health Care Inc	NH	Federally Qualified Health Center (FQHC)	$0	$8.1M
Nashua Center For The Multiply Handicapped, Inc.	NH	In Home Supportive Care Agency	$0	$6.8M
Foundation Medical Partners Inc	NH	Internal Medicine Physician	$0	$5.8M

Plus Co. Inc. — Billing Profile & Reimbursement Data

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Plus Co. 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

Nearby Providers

Frequently Asked Questions

References