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NPI 1952384299 · Hudson, NH · Substance Use Disorder Rehabilitation Clinic/Center
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Merrimack River Medical Services, Inc. is a substance use disorder rehabilitation clinic/center provider located in Hudson, New Hampshire. This profile covers 3 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Merrimack River Medical Services, Inc. |
| Address | 323 Derry Rd |
| City | Hudson |
| State | NH |
| ZIP | 03051 |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| NPI Enumerated | November 21, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $16.8M |
| Medicare | $1.1M |
This provider is effectively Medicaid-centric: lifetime Medicaid revenue is $16.8M versus $1.1M in Medicare, and the precomputed top-3 shares show the provider's Medicare billing is highly concentrated (top 3 Medicare codes account for 100.0% of Medicare revenue) while Medicaid billing is similarly concentrated (top 3 Medicaid codes account for 98.8% of Medicaid revenue). The scale and concentration together indicate most clinical activity and revenue flow through Medicaid-funded programs.
The code mix and dollar distribution identify MERRIMACK RIVER MEDICAL SERVICES, INC. as an opioid treatment program with integrated counseling services: G2067 is the dominant Medicare code (4.4K claims, $1.1M revenue) and H0020 dominates Medicaid (1M claims, $11.5M revenue), both of which represent methadone administration/weekly medication-assisted treatment bundles that include dispensing, counseling, therapy, and toxicology when performed. These codes’ descriptions imply the organization provides on-site medication dispensing plus individual and group therapy as core services.
Medicare activity is almost entirely driven by G2067, which accounts for 98.8% of the provider's Medicare revenue (4.4K claims, $242 avg paid/claim, $1.1M revenue) and ranks #19 of 830 nationally (98th percentile; notably above typical national volume for this code). The other Medicare codes (G2078 and G2074) represent immaterial shares (0.7% and 0.5% respectively) and are described as typical, unremarkable volumes, so Medicare-facing operations appear narrowly focused on the weekly MAT bundle.
On Medicaid, H0020 is the single largest revenue driver with 1M claims, $11 avg paid/claim, and $11.5M revenue (70.2% of Medicaid revenue); it ranks #2 of 9 in-state (88th percentile; typical, unremarkable volume for this code). That dominance of H0020 indicates most Medicaid dollars are coming from methadone administration services billed by a licensed program rather than from ancillary codes.
Supplementing medication services, the provider reports substantial counseling and therapy billing on Medicaid: H0004 has 27.7K claims, $69 avg paid/claim, and $1.9M revenue (11.6% of Medicaid revenue) and ranks #1 of 67 in-state (100th percentile; extreme outlier, far above typical state volume). This extreme outlier status for H0004 signals an unusually large behavioral health counseling throughput versus peers and suggests robust capacity for frequent, time-based therapy encounters.
The provider holds a dominant in-state position for several Medicaid MAT-related CPT/HCPCS codes: G2067 on Medicaid is 25.1K claims and $2.8M revenue (17.0% of Medicaid revenue) and ranks #1 of 8 in-state (100th percentile; notably above typical state volume), while G2077 and G2076 also appear among the reported Medicaid codes with in-state leading ranks. Together, these rankings portray strong competitive standing statewide for medication-assisted treatment and associated assessment/intake activities.
Operational breadth is evident from the presence of supporting OTP workflow codes: take-home supplies G2078 (1.9K Medicaid claims; 191 Medicare claims), periodic assessment G2077 (811 Medicaid claims), intake G2076 (29 Medicaid claims), group counseling H0005 (4.4K Medicaid claims), and case management H0006 (935 Medicaid claims). The spread of these codes across intake, assessment, dispensing, counseling, and take-home medication indicates the provider delivers end-to-end OTP services rather than a single narrow procedure.
The provider's NPI has been enumerated since 2005-11-21 (~21 years ago), indicating long tenure in the market. Combined with concentrated, high-volume Medicaid billing and leading in-state ranks on multiple MAT and counseling codes, this tenure supports the characterization of an established opioid treatment clinic with sustained Medicaid-centric operations.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 4,370 | $240 | $1.1M |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 190 | $40 | $7.4K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 30 | $200 | $5.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 1,048,420 | $10 | $11.5M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 25,130 | $110 | $2.8M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 27,680 | $70 | $1.9M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 4,440 | $20 | $97.6K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 1,930 | $40 | $69.4K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 810 | $30 | $24.3K |
| H0006 | Alcohol and/or drug services; case management | 940 | $10 | $7.5K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a… | 30 | $60 | $1.8K |
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
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 2 | 10 | 331,430 | $10 | $5.1M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1 | 10 | 9,800 | $110 | $1.4M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1 | 70 | 1,260 | $80 | $202.1K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 5 | 30 | 340 | $20 | $72.6K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 3 | 10 | 1,820 | $40 | $61.3K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 1 | 10 | 400 | $40 | $14.3K |
| H0006 | Alcohol and/or drug services; case management | 6 | 20 | 440 | $10 | $9.2K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a… | 1 | 10 | 20 | $60 | $1.4K |
Other providers in the same ZIP code as Merrimack River Medical Services, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Heaven Sent Home Care LLC | NH | In Home Supportive Care Agency | $0 | $14.9M |
| Kci Usa, Inc. | NH | Durable Medical Equipment & Medical Supplies | $0 | $1.6M |
| Bedside Home Care Services LLC | NH | In Home Supportive Care Agency | $0 | $1.1M |
| Town Of Hudson | NH | Land Ambulance | $317.4K | $265.4K |
| Hudson School District | NH | Local Education Agency (LEA) | $0 | $433.1K |
| Robert Christ | NH | General Practice Dentistry | $0 | $256.1K |
| Pierre Dionne | NH | Family Medicine Physician | $196.5K | $14K |
| Cvs Manchester Nh, L.L.C. | NH | Pharmacy | $181.8K | $0 |
| Maxi Drug North Inc | NH | Community/Retail Pharmacy | $91.1K | $0 |
| Kyle Hughes | NH | Physician Assistant | $42.7K | $0 |
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