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    OpenPayerNPI Medicare & MedicaidBelonging Medical Group PLLC
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    Belonging Medical Group PLLC — Billing Profile & Reimbursement Data

    NPI 1912482787 · Hanover, NH · General Practice Physician

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    Belonging Medical Group PLLC is a general practice physician provider located in Hanover, New Hampshire. This profile covers 0 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBelonging Medical Group PLLC
    Address44 S Main St Ste 2
    CityHanover
    StateNH
    ZIP03755
    TaxonomyGeneral Practice Physician
    NPI EnumeratedSeptember 27, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13.5M
    Medicare$0

    Key Findings

    BELONGING MEDICAL GROUP PLLC has no Medicare billing on file and is effectively a Medicaid-focused provider, reporting $13.5M in total Medicaid revenue. This single-payer concentration means reimbursement exposure and strategic risk are tied almost entirely to Medicaid policy and managed-care arrangements rather than Medicare contracts.

    Revenue is highly concentrated: the top three Medicaid codes (H0047, T2022, 99213) account for 57.1% of the provider’s total Medicaid revenue, with H0047 alone representing 34.4% of the Medicaid revenue ($4.6M). This concentration indicates a reliance on a narrow set of service lines for the majority of cash flow.

    The code mix strongly indicates a behavioral health and substance-use disorder treatment operation: H0047 ($4.6M), H0005 (40.1K claims, $681.4K), 99408 (4.5K claims, $1.2M) and T1007 (2.4K claims, $548.9K) are major contributors. These codes—centering on AOD screening/brief intervention, group counseling, and treatment plan development—point to an emphasis on outpatient SUD programs, group-based modalities, and brief interventions rather than high-acuity medical care.

    BELONGING demonstrates dominant in-state volume for several SUD and behavioral-health codes: H0005 ranks #1 of 30 providers in-state and is labeled an "extreme outlier, far above typical state volume for this code," while 99408 ranks #1 of 6 providers (100th percentile), and T1041 ranks #1 of 1 provider. Those rank/percentile markers indicate the practice is a major state-level provider for group counseling, brief-intervention screening, and certified community behavioral health clinic monthly services.

    At the same time the practice sustains very high primary care–style outpatient encounter volume: 99213 appears as 31.6K claims for $1.5M in revenue and ranks #15 of 395 providers in-state (96th percentile), which is notably above typical state volume. This suggests a sizable throughput of low-level E/M visits—consistent with ongoing medication management, follow-ups, and routine behavioral-health encounters.

    Group therapy and high-frequency low-unit payments are clearly operational drivers: 90853 shows 24.5K claims with $16 avg paid/claim ($392.2K revenue) and H0005 shows 40.1K claims with $17 avg paid/claim ($681.4K revenue). The combination of very large claim counts and low per-claim payments indicates an operational model built around high-volume group sessions to deliver care at scale.

    The provider bills recurring monthly and care-coordination codes at scale: T2022 has 4.5K claims ($1.6M revenue) and T1041 has 2.4K claims ($835.4K revenue), reflecting steady case management and CBHC monthly billing streams. T2022’s state rank (#12 of 23, 50th percentile) is middling, while T1041’s #1-of-1 status shows the provider is uniquely positioned to capture certain certified-clinic monthly payments in its reporting universe.

    Operational tenure is moderate: the NPI was enumerated on 2018-09-27 (~8 years ago), and in that span the practice has scaled to $13.5M in Medicaid revenue with concentrated reliance on SUD and behavioral-health codes. Analysts should treat the provider as a Medicaid-centric, high-volume behavioral-health operator with limited diversification into Medicare revenue.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0047Alcohol and/or other drug abuse services, not otherwise specified13,010$360$4.6M
    T2022Case management, per month4,510$350$1.6M
    99213The 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…31,580$50$1.5M
    99408The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.4,520$270$1.2M
    99214The 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…13,190$70$870.7K
    T1041Medicaid certified community behavioral health clinic services, per month2,360$350$835.4K
    H0005Alcohol and/or drug services; group counseling by a clinician40,080$20$681.4K
    99499Use 99499 to report evaluation and management services for which there is no specific code available.2,910$220$652.5K
    T1007Alcohol and/or substance abuse services, treatment plan development and/or modification2,360$230$548.9K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…24,520$20$392.2K

    Showing 1–10 of 23

    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.

    Full comparison — all codes billed, vs. New Hampshire median

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0047Alcohol and/or other drug abuse services, not otherwise specified11013,010$360$4.6M
    T2022Case management, per month12204,510$240$3.5M
    T1041Medicaid certified community behavioral health clinic services, per month1102,360$350$835.7K
    99499Use 99499 to report evaluation and management services for which there is no specific code available.1102,910$220$653.3K
    T1007Alcohol and/or substance abuse services, treatment plan development and/or modification1102,360$230$549.1K
    H0038Self‑help/peer services, per 15 minutes1830620$60$231.9K
    99214The 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…35420480$50$223.9K
    99408The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.11030$220$208.5K
    H0004Behavioral health counseling and therapy, per 15 minutes41701,260$80$202.1K
    99213The 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…15400350$30$140.6K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jennifer PorschitzNHClinical Social Worker$0$530.5K
    Stephanie AyanNHFamily Nurse Practitioner$38.4K$189.8K
    Joanne PomeranzNHFamily Nurse Practitioner$12.2K$116.5K
    Javad MashkuriOREmergency Medicine Physician$46.9K$0
    Brandie PorterNHAdvanced Practice Midwife$31.5K$0
    Elizabeth MaislenNHAdult Health Nurse Practitioner$27.5K$0
    Kathleen MartinNHAcute Care Nurse Practitioner$25K$0
    Elizabeth MccabeNHAdult Health Nurse Practitioner$23.3K$0
    Thomas GroblewskiMAFamily Medicine Physician$22.4K$0
    Priscilla MarsicovetereNHPhysician Assistant$22.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Belonging Medical Group PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Becket Academy, Inc.NHFoster Care Agency$0$31.3M
    Daniel Mcginley-smithNHDermatology Physician$461.3K$0
    Adam SchwarzNHInternal Medicine Physician$244.9K$0
    Kerry O'haraNHAdult Health Nurse Practitioner$193.7K$0
    Christine MedoraNHInternal Medicine Physician$171K$0
    Town Of HanoverNHAmbulance$161.2K$1.8K
    Cvs Manchester Nh, L.L.C.NHPharmacy$151K$0
    Rebecca WoodNHInternal Medicine Physician$119.6K$0
    Fred W. Salvatoriello Dmd PANHOrthodontics and Dentofacial Orthopedics Dentistry$0$86.6K
    Hanover School DistrictNHLocal Education Agency (LEA)$0$75.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Hampshire Providers
    3 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Belonging Medical Group PLLC — 4 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire