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.

Kimi Nichols Center (NPI 1922719111)

Field	Value
Entity Type	Organization
Organization	Kimi Nichols Center
Address	17 East Rd
City	Plaistow
State	NH
ZIP	03865
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	December 8, 2022

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

Key Findings

KIMI NICHOLS CENTER is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in PLAISTOW, NH with an NPI enumerated 2022-12-08 (~4 years ago). Its lifetime billing profile shows $9.9M in Medicaid revenue and no Medicare billing on file, making Medicaid the sole payer of record in this dataset.

The provider’s Medicaid code mix is concentrated in residential personal care and waiver day habilitation services, reflecting a combined residential/day habilitation operating model. The presence of T1020 (personal care services, per diem) and T2021 (day habilitation, waiver; per 15 minutes) suggests the organization delivers per-diem residential supports alongside time-based habilitation programming under waiver arrangements.

Revenue concentration is extreme: the precomputed top codes account for 100.0% of Medicaid revenue, with T1020 generating $7.2M (72.4% of total Medicaid revenue) and T2021 $2.7M (27.6% of total Medicaid revenue). This two-code revenue base indicates the business is highly dependent on a small set of service lines for its entire Medicaid topline.

Payer mix is effectively single-payer at the program level — Medicaid accounts for all reported lifetime revenue while there is no Medicare billing on file. That concentration means reimbursement changes, eligibility shifts, or waiver policy adjustments in Medicaid would likely have an outsized impact on the provider’s finances.

On competitive standing within New Hampshire for these services, the provider is a modest, typical participant rather than a statewide leader: T1020 ranks #17 of 41 providers in-state (60th percentile; typical, unremarkable volume for this code) and T2021 ranks #17 of 39 providers in-state (58th percentile; typical, unremarkable volume for this code). These mid‑range percentiles indicate ordinary market share for both primary service lines rather than dominance.

Operational billing patterns show high-volume, unit-based activity consistent with continuous residential supports and frequent habilitation sessions: T1020 appears on 21.6K claims with a $334 avg paid/claim and T2021 on 13.6K claims with a $201 avg paid/claim. The combination of large claim counts and per-diem/15-minute billing units aligns with a care model that bills routinely for ongoing daily supports and repeated habilitation encounters.

From a risk and strategic perspective, the provider’s entire Medicaid revenue being concentrated in two closely related codes creates revenue vulnerability; any changes to Medicaid rates, prior authorization, waiver rules, or program eligibility for T1020 and T2021 could materially affect the provider. This concentration argues for attention from analysts to policy and rate trends affecting personal care per-diem and day habilitation waiver services.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	21,550	$330	$7.2M
T2021	Day habilitation, waiver; per 15 minutes	13,630	$200	$2.7M

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

Kimi Nichols Center — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	17	40	14,020	$330	$32.2M
T2021	Day habilitation, waiver; per 15 minutes	17	40	11,650	$170	$12.7M

Nearby Providers

Other providers in the same ZIP code as Kimi Nichols Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timberlane Regional School District	NH	Local Education Agency (LEA)	$0	$1.5M
Pinnacle Rehabilitation Network, LLC	NH	Physical Therapist	$0	$676.7K
Plaistow Pediatric Dentistry & Orthodontics	NH	Dental Clinic/Center	$0	$282.7K
Plaistow Pediatric Dentistry & Orthodontics, PLLC	NH	Pediatric Dentistry	$0	$266.9K
Plaistow Dental Implant And Oral Surgery Center	NH	Oral and Maxillofacial Surgery Clinic/Center	$0	$259.9K
Cvs Manchester Nh, L.L.C.	NH	Pharmacy	$194.3K	$0
Tami Recesso	NH	Physical Therapist	$185K	$0
Nelson Matos	NH	Family Medicine Physician	$52.9K	$125.6K
Eric Combs	NH	Physical Therapist	$97.8K	$0
James R Vitale	NH	Optometrist	$0	$75.9K

Kimi Nichols Center — Billing Profile & Reimbursement Data

Sign up for Kimi Nichols Center — Billing Profile & Reimbursement Data policy alerts

Kimi Nichols Center — Billing Profile & Reimbursement Data

Sign up for Kimi Nichols Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References