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.

Saco River Medical Group, PC (NPI 1861587453)

Field	Value
Entity Type	Organization
Organization	Saco River Medical Group, PC
Address	7 Greenwood Ave
City	Conway
State	NH
ZIP	03818
Taxonomy	Family Medicine Physician
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	51,640	$100	$5M
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…	18,880	$10	$151K
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…	24,640	$1	$73.9K
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…	650	$40	$27.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	1,470	$10	$10.3K
99188	The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity.	870	$10	$6.1K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	5,820	$1	$5.8K
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.	5,340	$1	$5.3K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	1,990	$1	$4K
0071A	N/A	60	$30	$1.6K

Showing 1–10 of 58

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

Saco River Medical Group, PC — 2 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

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	80	760	$170	$2M
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…	25	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…	21	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…	18	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.	13	60	400	$70	$56.1K
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…	33	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…	13	30	520	$50	$40.7K
99203	The provider sees a new 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 provider…	43	110	120	$40	$30.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	15	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,…	49	110	170	$20	$26.2K

Showing 1–10 of 58

Related Providers

Other providers that share a Tax Identification Number (TIN) with Saco River Medical Group, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abel Jarell	NH	Dermatology Physician	$303.9K	$0
Franklin Hubbell	NH	General Practice Physician	$5.3K	$0
Emily Beaulieu	NH	Family Nurse Practitioner	$1.7K	$0
Nicole Stanley	NH	Family Nurse Practitioner	$870	$0

Nearby Providers

Other providers in the same ZIP code as Saco River Medical Group, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
White Mountain Community Health Center	NH	Federally Qualified Health Center (FQHC)	$0	$2.8M
Blue Heron Neurofeedback And Counseling	NH	Multi-Specialty Clinic/Center	$0	$1.1M
Mark Horan	NH	Mental Health Counselor	$0	$536.8K
Sevigny Family Dental PLLC Dba Conway Family Dental Care	NH	General Practice Dentistry	$0	$431.5K
William Hyde	NH	Marriage & Family Therapist	$0	$363.8K
Lincare Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$361.9K
Lifestar Emergency Medical Services LLC	NH	Land Ambulance	$199.8K	$49.2K
Children Unlimited, Inc.	NH	Multi-Specialty Clinic/Center	$0	$207.7K
Conway Village Fire District	NH	Ambulance	$102K	$25.7K
Melissa Myers	NH	Psychiatry Physician	$108.3K	$0

Saco River Medical Group, PC — Billing Profile & Reimbursement Data

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Saco River Medical Group, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References