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.

Riverbend Community Mental Health, Inc. (NPI 1942264940)

Field	Value
Entity Type	Organization
Organization	Riverbend Community Mental Health, Inc.
Address	29 School St
City	Concord
State	NH
ZIP	03301
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 14, 2006

Payer Source	Total Paid
Medicaid	$118.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scale: Medicare revenue is reported as none (no Medicare billing on file), while Medicaid accounts for $118.4M in lifetime revenue. That concentration means the organization’s financial exposure and contracting leverage are tied almost entirely to Medicaid program policy and rates rather than to a mixed Medicare/Medicaid payer portfolio.

Revenue is highly concentrated in a few time‑based behavioral codes: the precomputed top three Medicaid codes (T1016, H2019, H2020) together account for 69.5% of this provider’s total Medicaid revenue. Individually these top codes are T1016 ($45.6M, 38.9%), H2019 ($24.3M, 20.7%), and H2020 ($11.6M, 9.9%), showing that a small set of service lines drives the majority of cash flow.

The service mix implied by the dominant codes (T1016, H2019, H2020) points to a community‑based behavioral health model emphasizing case management and therapeutic behavioral services delivered in short, repeat time increments and per‑diem formats. This pattern is consistent with a large, operationally mature mental health clinic that staffs time‑intensive, ongoing community and in‑home interventions rather than episodic procedural care.

Psychotherapy volume is a standout operational feature: 90834 appears with 184.8K claims and $10M revenue (8.5% of Medicaid revenue) and ranks #1 of 133 providers in the state, labeled an extreme outlier. That ranking and claim count indicate a very large psychotherapy caseload and substantial clinician capacity for regular individual therapy sessions relative to in‑state peers.

Across ancillary and support services the organization also shows outsized state presence: codes such as H2019 are #1 of 33 providers in‑state (100th percentile; notably above typical state volume), H0001 is #1 of 41 (100th percentile; notably above typical), and 90853 ranks #2 of 29 providers (96th percentile; extreme outlier). These positions signal a broad programmatic footprint that includes group therapy, behavioral counseling, and intake/assessment services at volumes well above most peers.

Competitive standing is mixed by service line: the provider is a dominant statewide player for several behavioral and psychotherapy codes (H2019 at #1/33, 90834 at #1/133), while for case management it reports typical participation (T1016 ranks #6 of 33, 84th percentile, labeled typical). In short, it leads in therapeutic behavioral services and psychotherapy but is closer to peer norms on some supportive case‑management activity.

Clinical complexity and intensity are reflected in the mix of psychotherapy and higher‑level E/M codes: 99215 appears with $671.4K revenue and ranks #2 of 95 providers (99th percentile; extreme outlier), while 99214 and 99213 also appear among top codes. The presence of both high‑volume therapy codes and high‑level evaluation/management codes suggests the provider manages a substantial population with complex or high‑acuity behavioral health needs requiring extended clinician time.

The organization has been established for a long period (NPI enumerated 2006-04-14, ~20 years ago), and that tenure combined with the provider’s top‑ranked positions on several codes suggests an entrenched regional footprint. For payers and analysts, this implies existing referral relationships and operational scale that would be important considerations in network negotiations or capacity assessments.

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	136,920	$330	$45.6M
H2019	Therapeutic behavioral services, per 15 minutes	250,540	$100	$24.3M
H2020	Therapeutic behavioral services, per diem	82,190	$140	$11.6M
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…	184,780	$50	$10M
H2015	Comprehensive community support services, per 15 minutes	40,630	$120	$5M
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…	22,310	$100	$2.2M
H2023	Supported employment, per 15 minutes	18,670	$100	$1.8M
H2011	Crisis intervention service, per 15 minutes	10,390	$170	$1.8M
T1027	Family training and counseling for child development, per 15 minutes	21,910	$80	$1.7M
H0034	Medication training and support, per 15 minutes	37,810	$40	$1.5M

Showing 1–10 of 52

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

Riverbend Community Mental Health, Inc. — 11 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

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	6	30	35,170	$170	$12.5M
H2020	Therapeutic behavioral services, per diem	2	10	38,630	$170	$7.8M
H2019	Therapeutic behavioral services, per 15 minutes	1	30	3,880	$90	$4.4M
H2023	Supported employment, per 15 minutes	8	30	11,450	$120	$2.3M
H2018	Psychosocial rehabilitation services, per diem	2	10	9,710	$90	$1.9M
H2015	Comprehensive community support services, per 15 minutes	4	30	10,280	$90	$1.5M
H2011	Crisis intervention service, per 15 minutes	2	20	1,900	$180	$829.6K
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.	53	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.	36	70	2,540	$110	$733.8K
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…	3	30	600	$90	$719.5K

Showing 1–10 of 52

Related Providers

Other providers that share a Tax Identification Number (TIN) with Riverbend Community Mental Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Paul	NH	Psychiatry Physician	$80.5K	$0
Percy Ballantine	VT	Psychiatry Physician	$29.8K	$0
Sandeep Sobti	NH	Geriatric Psychiatry Physician	$28.9K	$0
Olga Zhalkovska	NH	Psychiatry Physician	$12.9K	$0

Nearby Providers

Other providers in the same ZIP code as Riverbend Community Mental Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Bridges	NH	Case Management Agency	$0	$265.5M
Granite State Independent Living	NH	In Home Supportive Care Agency	$0	$74.7M
Ascentria Community Services, Inc	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$52.6M
Ascentria Community Care, Inc	NH	Voluntary or Charitable Agency	$0	$50.3M
Concord Hospital, Inc.	NH	General Acute Care Hospital	$0	$28.8M
Concord Pediatric Dentistry	NH	Pediatric Dentistry	$0	$13.6M
New England Life Care, Inc.	NH	Home Infusion Therapy Pharmacy	$0	$11.4M
New Hampshire Home Care Providers LLC	NH	In Home Supportive Care Agency	$0	$11M
Brain Injury Association Of Nh	NH	Case Management Agency	$0	$11M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$404K	$10.4M

Riverbend Community Mental Health, Inc. — Billing Profile & Reimbursement Data

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Riverbend Community Mental Health, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References