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.

Elliot Hospital Of The City Of Manchester (NPI 1902996028)

Key Findings

Field	Value
Entity Type	Organization
Organization	Elliot Hospital Of The City Of Manchester
Address	1 Elliot Way
City	Manchester
State	NH
ZIP	03103
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$60.5M
Medicare	$0

ELLIOT HOSPITAL is effectively single-payer in the available claims data: it has no Medicare billing on file and reports $60.5M in total Medicaid revenue, indicating Medicaid is the sole recorded source of fee-for-service revenue in this dataset. Analysts should treat comparisons and growth questions through a Medicaid-only lens unless external Medicare activity is documented elsewhere.

Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes (99285, 87637, 99284) account for 44.5% of the provider's total Medicaid revenue. The leading single code, 99285, generates $10.1M (24.9% of Medicaid revenue) and by itself represents nearly a quarter of reported Medicaid dollars, signaling narrow dependence on a few high-volume services.

The code mix points to a large, high-acuity emergency and hospital-based outpatient operation. Emergency department evaluation-and-management codes 99285 (35.8K claims, $281 avg paid/claim, $10.1M revenue), 99284 (18.4K claims, $205 avg paid/claim, $3.8M revenue), and 99283 (26.6K claims, $119 avg paid/claim, $3.2M revenue) together indicate heavy ED throughput with significant high-acuity case mix and downstream resource use.

Laboratory and infectious-disease testing volumes are also a major revenue component, reinforcing an acute-care and diagnostic focus: 87637 (31.6K claims, $131 avg paid/claim, $4.1M revenue) ranks #1 in-state and U0004 (11.2K claims, $81 avg paid/claim, $906.2K revenue) and 87651 (21.9K claims, $28 avg paid/claim, $614.5K revenue) appear as top lab drivers. The presence of high-volume multiplex respiratory testing plus COVID PCR testing suggests substantial ED and inpatient testing throughput.

ELLIOT ranks as a dominant statewide provider on many individual Medicaid services: 99285 ranks #1 of 63 providers in-state (100th percentile, described in the data as an "extreme outlier, far above typical state volume for this code"), 87637 ranks #1 of 14 providers (100th percentile, extreme outlier), and several other codes including 99212, 76705, 87651, 96361, 80053, and G0463 also rank #1 in-state at the 100th percentile. These rank/percentile signals indicate the hospital is a major hub for emergency, diagnostic, and certain outpatient clinic services within New Hampshire.

Hospital observation and outpatient clinic activity are material revenue contributors, consistent with an inpatient-capable facility that also manages observation and clinic throughput: G0378 (7.5K claims, $265 avg paid/claim, $2M revenue) ranks #2 of 22 providers (95th percentile) and G0463 (71.9K claims, $7 avg paid/claim, $503.5K revenue) ranks #1 of 33 providers (100th percentile). This mix suggests substantial hours-based observation billing and high-volume outpatient clinic encounters feeding from the ED and ambulatory services.

Imaging and procedural diagnostics form another significant service line: 74177 (6.3K claims, $410 avg paid/claim, $2.6M revenue), 70450 (7.6K claims, $131 avg paid/claim, $994.2K revenue), 71275 (1.7K claims, $316 avg paid/claim, $523.3K revenue), and MRI codes 70551/70553 together show sizable CT and MRI throughput. These imaging volumes support the picture of a full-service acute hospital that delivers advanced diagnostic imaging for emergent and non-emergent cases.

The provider has an established operational tenure with its NPI enumerated on 2006-10-13 (~20 years ago), which contextualizes its scale and market position: long-standing presence combined with repeated 100th-percentile rankings on multiple codes suggests entrenched referral and utilization patterns rather than a new or transient provider footprint. Analysts should consider that these entrenched patterns may reflect regional role (largest acute-care center) and capacity rather than isolated spikes in activity.

Medicaid: Complete Services Breakdown

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

437 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	35,770	$280	$10.1M
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)…	31,620	$130	$4.1M
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.	18,400	$210	$3.8M
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.	26,570	$120	$3.2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,330	$410	$2.6M
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…	67,230	$30	$2.1M
G0378	Hospital observation service, per hour	7,490	$270	$2M
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…	43,230	$30	$1.3M
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	22,830	$50	$1.1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	7,590	$130	$994.2K

Showing 1–10 of 437

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

Elliot Hospital Of The City Of Manchester — 20 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

437 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	13	20	5,280	$230	$3.6M
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.	1	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.	8	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.	3	70	2,540	$110	$733.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3	50	1,150	$230	$480.4K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	15	30	500	$110	$455.7K
G0378	Hospital observation service, per hour	2	20	1,390	$190	$406.3K
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)…	1	10	450	$120	$403.9K
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	1	10	230	$1,330	$308K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	3	50	1,250	$90	$224K

Showing 1–10 of 437

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mental Health Center Of Greater Manchester	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$143.9M
Easter Seals New Hampshire, Inc	NH	Developmental Disabilities Clinic/Center	$0	$63.1M
Easter Seals New Hampshire, Inc	NH	Developmental Disabilities Clinic/Center	$0	$37.9M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$859.8K	$15.4M
Manchester Alcoholism Rehabilitation Center	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16M
Minuteman Medical Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$15M
Factor Dental, Inc	NH	Point of Service	$0	$12.5M
Bayada Home Health Care, Inc.	NH	Home Health Agency	$0	$9.3M
Lifeshare Management Group, Inc.	NH	In Home Supportive Care Agency	$0	$8.7M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.3M

Elliot Hospital Of The City Of Manchester — Billing Profile & Reimbursement Data

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Elliot Hospital Of The City Of Manchester — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elliot Hospital Of The City Of Manchester	NH	Durable Medical Equipment & Medical Supplies	$0	$749.7K
Elliot Hospital Of The City Of Manchester	NH	Durable Medical Equipment & Medical Supplies	$0	$381.9K