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.

School Administrative Unit 61 (NPI 1861619090)

Field	Value
Entity Type	Organization
Organization	School Administrative Unit 61
Address	356 Main St
City	Farmington
State	NH
ZIP	03835
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	April 19, 2007

Payer Source	Total Paid
Medicaid	$433.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	27,740	$10	$360.7K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	5,050	$1	$20.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	1,900	$10	$15.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,040	$10	$15.2K
A0425	Ground mileage, per statute mile	1,650	$10	$11.6K
H0046	Mental health services, not otherwise specified	1,330	$10	$9.3K
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	100	$10	$900
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	40	$10	$320

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

School Administrative Unit 61 — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	29	100	12,410	$20	$539.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	72	130	2,640	$40	$208.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	82	200	1,650	$20	$108.5K
A0425	Ground mileage, per statute mile	67	130	1,690	$20	$60.2K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	48	100	4,780	$1	$28.7K
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	29	30	1,210	$10	$23.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	34	50	100	$40	$22K
H0046	Mental health services, not otherwise specified	11	30	900	$10	$15.3K

Nearby Providers

Other providers in the same ZIP code as School Administrative Unit 61, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tyler Edwards	NH	Family Medicine Physician	$97.8K	$0
Felicia Brodeur	NH	Orthopedic Physical Therapist	$60.5K	$0
Susan Rooks	NH	Family Nurse Practitioner	$8.8K	$0

School Administrative Unit 61 — Billing Profile & Reimbursement Data

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School Administrative Unit 61 — Billing Profile & Reimbursement Data

Sign up for School Administrative Unit 61 — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References