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.

Living Innovations Support Services, LLC (NPI 1932749512)

Field	Value
Entity Type	Organization
Organization	Living Innovations Support Services, LLC
Address	273 Locust St Unit 2c
City	Dover
State	NH
ZIP	03820
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 10, 2020

Payer Source	Total Paid
Medicaid	$129.3M
Medicare	$0

Key Findings

LIVING INNOVATIONS SUPPORT SERVICES, LLC is effectively a single-payer Medicaid provider with no Medicare billing on file; lifetime Medicare revenue is listed as none while total Medicaid revenue is $129.3M, indicating its operations are concentrated entirely within Medicaid-funded services. The lack of Medicare activity suggests its service lines and participant population are centered on developmental disability and waiver-based supports rather than typical Medicare-eligible clinical care.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three codes account for 98.4% of this provider's total Medicaid revenue, underscoring reliance on a few program-specific service lines for nearly all reported receipts. This concentration implies limited revenue diversification and sensitivity to policy or rate changes affecting those specific waivers and per-diem supports.

The single largest revenue line is S5140 (Foster care, adult; per diem), which produced $99.9M or 77.2% of the provider’s Medicaid revenue across 108.6K claims at an average paid/claim of $920. This scale makes foster-care per-diem services the core of the business model and suggests substantial capacity or placement volume in adult foster-care arrangements.

T2021 (Day habilitation, waiver; per 15 minutes) and T2017 (Habilitation, residential, waiver; 15 minutes) together account for $15.6M (12.1%) and $11.7M (9.1%) respectively, reflecting a complementary mix of day habilitation and residential habilitation services built around waiver funding. The combination of per-diem foster care plus both day and residential habilitation codes indicates an integrated set of supports for individuals with developmental disabilities, spanning residential placement and habilitative programming.

Competitive standing varies by code: for S5140 the provider ranks #2 of 6 in-state and sits at the 80th percentile, which indicates a leading but not exclusive role in the state foster-care per-diem market; for T2017 it ranks #1 of 5 and is described as notably above typical state volume, identifying the provider as the top in-state supplier of residential habilitation under waiver funding. In contrast, its T2021 volume places it at rank #12 of 39 (71st percentile), which is a solid but otherwise typical in-state performer for day habilitation.

Claims-level detail shows operational scale: the provider reported 108.6K claims for S5140, 53.1K claims for T2021, and 53.6K claims for T2017, indicating high-frequency, time- or day-based billing patterns consistent with per-diem and 15-minute habilitation units. These claim counts, combined with the high average paid/claim for S5140 ($920), explain why a single code can drive more than three-quarters of Medicaid revenue.

Tenure is relatively recent but established: the provider's NPI was enumerated on 2020-01-10 (~6 years ago), indicating several years of billing history under this NPI which aligns with the multi-year accumulation of $129.3M in Medicaid revenue. This timeline supports that the observed patterns are not one-off reporting but reflect an operational business model sustained over multiple years.

Lower-revenue codes such as H2023, T2019, T2035 and G9012 contribute only fringe revenue (e.g., H2023 at $2M or 1.5% of total Medicaid revenue and several codes showing $0 to $61.7K), and their state ranks are mid-to-low percentiles. These smaller lines appear ancillary to the provider’s core foster-care and habilitation services, suggesting that any service diversification beyond the top three codes is modest in scale and impact.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	108,560	$920	$99.9M
T2021	Day habilitation, waiver; per 15 minutes	53,110	$290	$15.6M
T2017	Habilitation, residential, waiver; 15 minutes	53,600	$220	$11.7M
H2023	Supported employment, per 15 minutes	7,090	$280	$2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	1,470	$40	$61.7K
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	230	$50	$11.7K
G9012	Other specified case management service not elsewhere classified	200	$0	$0

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

Living Innovations Support Services, LLC — 1 of 6 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	2	10	52,170	$470	$29.6M
T2021	Day habilitation, waiver; per 15 minutes	12	40	11,650	$170	$12.7M
T2017	Habilitation, residential, waiver; 15 minutes	1	10	1,170	$270	$4.6M
H2023	Supported employment, per 15 minutes	18	30	11,450	$120	$2.3M
G9012	Other specified case management service not elsewhere classified	3	10	13,300	$90	$1.6M
T2019	Habilitation, supported employment, waiver; per 15 minutes	3	10	1,800	$200	$340.5K
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	2	10	620	$160	$98.4K

Nearby Providers

Other providers in the same ZIP code as Living Innovations Support Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health And Developmental Services Of Strafford County, Inc	NH	Case Management Agency	$0	$169.8M
Living Innovations Support Services, LLC	NH	Developmentally Disabled Services Day Training Agency	$0	$147.3M
Wentworth Douglass Hospital	NH	General Acute Care Hospital	$0	$30.6M
Work Opportunities Unlimited Contracts, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$17.9M
Living Innovations Support Services, LLC	NH	Community/Behavioral Health Agency	$0	$11.2M
Work Opportunities Unlimited Contracts, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Behavioral Health And Developmental Services Of Strafford County, Inc	NH	Early Intervention Provider Agency	$0	$5M
Seacoast Emergency Physicians, PC	NH	Emergency Medical Services (Emergency Medicine) Physician	$0	$4.5M
Southeastern New Hampshire Alcohol And Drug Abuse Services	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.7M
Reach For The Top Therapy Services	NH	Occupational Therapist	$0	$2.7M

Living Innovations Support Services, LLC — Billing Profile & Reimbursement Data

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Living Innovations Support Services, LLC — 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