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.

Upper Connecticut Valley Hospital Association (NPI 1861489437)

Upper Connecticut Valley Hospital Association is a critical access hospital provider located in Colebrook, New Hampshire. This profile covers 0 Medicare and 42 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	Upper Connecticut Valley Hospital Association
Address	181 Corliss Lane
City	Colebrook
State	NH
ZIP	03576
Taxonomy	Critical Access Hospital
NPI Enumerated	September 29, 2005

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,480	$110	$382.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	3,700	$80	$307.1K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1,230	$100	$120.1K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	780	$70	$57.2K
99281	The provider sees a patient for the lowest level emergency department visit.	740	$60	$47.1K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	1,670	$20	$35K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	660	$40	$28.3K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	930	$20	$19.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	3,880	$1	$15.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	260	$60	$15.4K

Showing 1–10 of 42

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

Upper Connecticut Valley Hospital Association — 0 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	53	60	1,820	$150	$756.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	45	80	2,220	$120	$745.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	28	70	2,540	$110	$733.8K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	14	10	450	$120	$403.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	13	50	2,010	$80	$209.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	80	130	1,320	$40	$184.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	29	30	2,910	$30	$151.2K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	28	40	3,720	$20	$129K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	16	40	740	$60	$128.1K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	28	30	2,370	$40	$122.1K

Showing 1–10 of 42

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Akshat Paliwal	NH	Diagnostic Radiology Physician	$309.2K	$0
Dingxin Qin	NH	Clinical Cardiac Electrophysiology Physician	$221.1K	$0
Jamie Kim	NH	Clinical Cardiac Electrophysiology Physician	$210.6K	$0
Julianna Czum	MD	Diagnostic Radiology Physician	$199.4K	$0
Gene Carpenter	PA	Diagnostic Radiology Physician	$196.5K	$60
Steven Kammann	NH	Diagnostic Radiology Physician	$191.3K	$0
Mark Newcomb	MA	Emergency Medicine Physician	$183.2K	$5.2K
Trent Shelton	VT	Diagnostic Radiology Physician	$179.1K	$0
Michael Tsapakos	NH	Diagnostic Radiology Physician	$151.1K	$15.2K
Matthew Maeder	NH	Diagnostic Radiology Physician	$165.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indian Stream Health Center, Inc	NH	Federally Qualified Health Center (FQHC)	$0	$1.4M
45th Parallel Emergency Medical Services	NH	Land Ambulance	$275.1K	$306.2K
Weeks Medical Center	NH	Multi-Specialty Clinic/Center	$0	$561.6K
North Country Medical And Wellness, LLC	NH	Primary Care Clinic/Center	$0	$480.9K
Richard Kay	NH	Optometrist	$4K	$234.5K
John Fothergill	NH	Internal Medicine Physician	$17.2K	$0

Upper Connecticut Valley Hospital Association — Billing Profile & Reimbursement Data

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Upper Connecticut Valley Hospital Association — 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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