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.

Monadnock Community Hospital (NPI 1881676104)

Monadnock Community Hospital is a critical access hospital provider located in Peterborough, New Hampshire. This profile covers 0 Medicare and 36 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	Monadnock Community Hospital
Address	452 Old Street Rd
City	Peterborough
State	NH
ZIP	03458
Taxonomy	Critical Access Hospital
NPI Enumerated	November 14, 2005

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

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

36 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…	13,640	$60	$777.5K
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…	18,550	$40	$742K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,670	$60	$168.5K
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…	2,540	$60	$157.4K
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…	1,690	$60	$97.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	900	$60	$54.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	760	$60	$46.5K
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.	6,610	$10	$39.7K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	3,610	$10	$25.3K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	1,190	$20	$19.1K

Showing 1–10 of 36

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

Monadnock Community Hospital — 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	24	30	600	$90	$719.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	53	130	520	$50	$338.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	124	190	500	$70	$286.7K
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…	31	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…	27	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…	5	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.	5	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…	56	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…	7	50	370	$60	$47.4K
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…	83	110	120	$40	$30.6K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monadnock Community Hospital	NH	Critical Access Hospital	$0	$8.6M
Jonathan Breslau	MN	Diagnostic Radiology Physician	$1.3M	$0
Monadnock Community Hospital	NH	Rural Health Clinic/Center	$0	$352.8K
Sonya Kella	MN	Diagnostic Radiology Physician	$301.4K	$50.4K
Syed Anwarulislam	NJ	Diagnostic Radiology Physician	$299.6K	$0
Arlene Sussman	MN	Diagnostic Radiology Physician	$242.3K	$29.9K
Krishna Iyer	MN	Vascular & Interventional Radiology Physician	$248K	$0
Farhad Sani	MN	Diagnostic Radiology Physician	$220.6K	$0
Kimberly Jordan	MN	Diagnostic Radiology Physician	$215.2K	$0
Joseph Rozell	MN	Diagnostic Radiology Physician	$208K	$70

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monadnock Worksource Incorporated	NH	Developmental Disabilities Clinic/Center	$0	$2.4M
Contoocook Valley School District	NH	Local Education Agency (LEA)	$0	$1.2M
Town Of Peterborough	NH	Ambulance	$338.5K	$222.2K
Linda Perry	NH	Professional Counselor	$0	$280K
Cvs Manchester Nh LLC	NH	Pharmacy	$258.9K	$0
Brian Cromer	NH	Family Nurse Practitioner	$218.4K	$0
Heather Bartels	NH	Ophthalmology Physician	$189.1K	$0
Robert Spencer	NH	Cardiovascular Disease Physician	$124.3K	$0
Robert Tyszko	NH	Optometrist	$122.9K	$0
Jeffrey Haines	NH	Psychiatry Physician	$115.7K	$0

Monadnock Community Hospital — Billing Profile & Reimbursement Data

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Monadnock Community Hospital — 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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