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.

The Lakes Region Mental Health Center, Inc. (NPI 1902994866)

Field	Value
Entity Type	Organization
Organization	The Lakes Region Mental Health Center, Inc.
Address	40 Beacon St E
City	Laconia
State	NH
ZIP	03246
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicaid	$57.1M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $57.1M in lifetime Medicaid revenue, making its operations effectively single-payer (Medicaid)-dependent rather than diversified across Medicare and Medicaid. That concentration exposes the organization to Medicaid policy or rate changes as the primary revenue risk vector.

Medicaid revenue is highly concentrated: the precomputed top 3 codes account for 76.0% of the provider’s total Medicaid revenue. Those top drivers are T1016 $27.3M (47.9%), H2019 $10.7M (18.7%), and 90837 $5.3M (9.3%), indicating a small set of services supplies the bulk of income.

The mix of top codes (T1016 — case management per 15 minutes; H2019 — therapeutic behavioral services per 15 minutes; and 90837 — long psychotherapy sessions) signals an operation centered on time-based, community-oriented behavioral health work and high-volume psychotherapy. This pattern implies a staffing and delivery model built around frequent, billed 15-minute units and long-format psychotherapy visits rather than procedure-driven or facility-based revenue.

90837 is a statewide outlier: the provider ranks #2 of 194 providers in-state (99th percentile; extreme outlier) for this long psychotherapy code, which indicates market dominance in billed lengthy psychotherapy sessions compared with peers. Such dominance in 90837 suggests a competitive advantage or specialty capacity in providing extended individual psychotherapy within the state.

T1016 and H2019 show different competitive positions: T1016 ranks #13 of 33 providers in-state (63th percentile; typical, unremarkable volume for this code) while H2019 ranks #7 of 33 providers in-state (81th percentile; typical, unremarkable volume for this code). In plain terms, the center is a typical to above-typical participant in case management and therapeutic behavioral services statewide but not uniquely dominant for those time-based rehabilitation codes.

The billing mix also includes significant medical evaluation-and-management and crisis services alongside community supports: 99214 contributes $2.3M (4.1%) and ranks #7 of 416 providers in-state (99th percentile; extreme outlier), and H2011 (crisis intervention) contributes $2.4M (4.2%) and ranks #3 of 19 providers in-state (89th percentile; typical, unremarkable volume for this code). This combination points to an integrated clinical model that pairs psychotherapy and behavioral interventions with medical E&M and crisis response capacity.

Operationally, heavy use of per-15-minute and long psychotherapy codes (multiple H- and T- codes plus 90837, 90834, 90832) implies a labor- and time-intensive service delivery model that will be sensitive to changes in unit-based reimbursement, documentation requirements, and utilization management. Payers assessing network value or negotiating rates should account for the provider’s reliance on minute-based units and long-session psychotherapy as primary revenue levers.

The provider’s NPI was enumerated on 2006-10-10 (~20 years ago), indicating an established presence in Laconia, NH; combined with $57.1M in Medicaid revenue and high-state percentile positions on several codes, this longevity supports the view of a mature community mental health center with entrenched Medicaid service delivery relationships.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	88,480	$310	$27.3M
H2019	Therapeutic behavioral services, per 15 minutes	121,650	$90	$10.7M
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…	77,380	$70	$5.3M
H2011	Crisis intervention service, per 15 minutes	10,180	$230	$2.4M
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…	46,320	$50	$2.3M
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…	39,150	$50	$2M
H2015	Comprehensive community support services, per 15 minutes	14,590	$90	$1.3M
H2023	Supported employment, per 15 minutes	11,450	$110	$1.2M
H0034	Medication training and support, per 15 minutes	37,650	$20	$865.9K
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…	7,100	$90	$645.7K

Showing 1–10 of 30

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

The Lakes Region Mental Health Center, Inc. — 4 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	13	30	35,170	$170	$12.5M
H2019	Therapeutic behavioral services, per 15 minutes	7	30	3,880	$90	$4.4M
H2023	Supported employment, per 15 minutes	15	30	11,450	$120	$2.3M
H2015	Comprehensive community support services, per 15 minutes	10	30	10,280	$90	$1.5M
H2011	Crisis intervention service, per 15 minutes	3	20	1,900	$180	$829.6K
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…	9	30	600	$90	$719.5K
H0034	Medication training and support, per 15 minutes	4	10	17,440	$30	$709.6K
T1027	Family training and counseling for child development, per 15 minutes	19	30	2,010	$80	$516.4K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	10	20	4,000	$90	$469.7K
H2027	Psychoeducational service, per 15 minutes	7	10	2,480	$60	$340K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as The Lakes Region Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakes Region Community Services Council	NH	Early Intervention Provider Agency	$0	$149M
Concord Hospital-laconia	NH	General Acute Care Hospital	$0	$9.3M
Laconia Housing & Redevelopment Authority	NH	Home Health Agency	$0	$6.6M
Healthfirst Family Care Center, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$5.1M
Lrghealthcare	NH	Family Medicine Physician	$0	$2.9M
Concord Hospital-laconia	NH	Medicare Defined Swing Bed Hospital Unit	$0	$2.9M
Concord Hospital-laconia	NH	Family Medicine Physician	$0	$2.5M
Laconia School District	NH	Local Education Agency (LEA)	$0	$2.4M
Sobriety Centers Of New Hampshire	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.7M
City Of Laconia	NH	Land Ambulance	$393K	$614.8K

The Lakes Region Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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The Lakes Region Mental Health Center, 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