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    Community Bridges — Billing Profile & Reimbursement Data

    NPI 1962564328 · Concord, NH · Case Management Agency

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    Community Bridges is a case management agency provider located in Concord, New Hampshire. This profile covers 0 Medicare and 14 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
    OrganizationCommunity Bridges
    Address162 Pembroke Rd
    CityConcord
    StateNH
    ZIP03301
    TaxonomyCase Management Agency
    NPI EnumeratedDecember 14, 2006

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

    Payer SourceTotal Paid
    Medicaid$265.5M
    Medicare$0

    Key Findings

    COMMUNITY BRIDGES is effectively a Medicaid-focused provider: the organization reports $265.5M in lifetime Medicaid revenue and has no Medicare billing on file, making Medicaid the dominant and sole payer on record. The NPI shows long tenure (enumerated 2006-12-14, ~20 years), indicating an established presence in New Hampshire’s long-term supports and services market.

    Revenue is highly concentrated in a very small set of service lines: the precomputed top three Medicaid codes account for 91.3% of this provider’s total Medicaid revenue, led by T1020 at $137.2M (51.7%), followed by T2025 at $54.1M (20.4%) and T2021 at $51.1M (19.3%). This concentration means most of the organization’s financial performance is driven by a narrow set of community-based service categories.

    The code mix points to an operation centered on community-based long-term supports rather than acute clinical care: T1020 is personal care services (per diem), T2025 is waiver services (NOS), and T2021 is day habilitation (per 15 minutes). Together these codes indicate the provider delivers hands-on personal care, runs waiver program activities, and operates day habilitation programs for individuals with significant care needs.

    COMMUNITY BRIDGES is a major statewide participant in personal care services: T1020 records 442.4K claims and $137.2M revenue, ranks #2 of 41 providers in-state, and sits in the 98th percentile — a profile described as notably above typical state volume for this code. That single code alone accounts for 51.7% of the organization’s Medicaid revenue, underscoring its leading role in New Hampshire’s personal care market.

    The provider also ranks highly on waiver and habilitation lines: T2025 (56K claims, $54.1M, 20.4% of revenue) ranks #2 of 14 providers (92th percentile, notably above typical state volume) and T2021 (319.5K claims, $51.1M, 19.3% of revenue) ranks #2 of 39 providers (97th percentile, notably above typical state volume). These rankings support characterizing COMMUNITY BRIDGES as a major statewide player in waiver administration and day habilitation services.

    Beyond the top three, COMMUNITY BRIDGES shows strong placement on case management and related codes but with much smaller shares: T2022 (42.6K claims, $9.6M, 3.6% of revenue) ranks #2 of 23 providers (95th percentile, notably above typical state volume), while T1024 and T2023 show typical, unremarkable volumes (T1024 ranks #3 of 18, 88th percentile; T2023 ranks #5 of 11, 60th percentile). This suggests the organization supplements its core personal care and habilitation lines with formal case management and occasional specialty team encounters.

    Operationally, the provider handles very high claim volumes that are concentrated in time- or per-diem–based units: for example, T1020 has 442.4K claims, T2021 has 319.5K claims, and T2025 has 56K claims. Such volumes imply a large frontline workforce and administrative capacity to manage numerous short-duration encounters and waiver encumbrances, which has implications for staffing, scheduling, and compliance resources.

    Because COMMUNITY BRIDGES has no Medicare billing on file and derives nearly all revenue from Medicaid ($265.5M), it is highly dependent on state Medicaid policy, reimbursement rates, and waiver program rules; the fact that 91.3% of Medicaid revenue is concentrated in three codes increases sensitivity to changes affecting personal care, waiver services, or day habilitation. Analysts should treat this provider as strategically exposed to Medicaid program shifts rather than diversified across payers.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1020Personal 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…442,420$310$137.2M
    T2025Waiver services; not otherwise specified (nos)56,020$970$54.1M
    T2021Day habilitation, waiver; per 15 minutes319,530$160$51.1M
    T2022Case management, per month42,640$230$9.6M
    T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter16,870$240$4M
    T2023Targeted case management; per month15,980$210$3.3M
    H2015Comprehensive community support services, per 15 minutes32,260$70$2.3M
    T1005Respite care services, up to 15 minutes19,670$80$1.6M
    H2023Supported employment, per 15 minutes21,500$70$1.5M
    H2011Crisis intervention service, per 15 minutes1,900$270$510K

    Showing 1–10 of 14

    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

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1020Personal 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…24014,020$330$32.2M
    T2025Waiver services; not otherwise specified (nos)21020,960$1,140$26.7M
    T2021Day habilitation, waiver; per 15 minutes24011,650$170$12.7M
    H2019Therapeutic behavioral services, per 15 minutes23303,880$90$4.4M
    T2022Case management, per month2204,510$240$3.5M
    T2023Targeted case management; per month51010,730$230$3.2M
    H2023Supported employment, per 15 minutes73011,450$120$2.3M
    T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter32010,250$240$2.2M
    T1005Respite care services, up to 15 minutes61018,880$90$1.6M
    H2015Comprehensive community support services, per 15 minutes53010,280$90$1.5M

    Showing 1–10 of 14

    Nearby Providers

    Other providers in the same ZIP code as Community Bridges, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverbend Community Mental Health, Inc.NHMental Health Clinic/Center (Including Community Mental Health Center)$0$118.4M
    Granite State Independent LivingNHIn Home Supportive Care Agency$0$74.7M
    Ascentria Community Services, IncNHIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$52.6M
    Ascentria Community Care, IncNHVoluntary or Charitable Agency$0$50.3M
    Concord Hospital, Inc.NHGeneral Acute Care Hospital$0$28.8M
    Concord Pediatric DentistryNHPediatric Dentistry$0$13.6M
    New England Life Care, Inc.NHHome Infusion Therapy Pharmacy$0$11.4M
    New Hampshire Home Care Providers LLCNHIn Home Supportive Care Agency$0$11M
    Brain Injury Association Of NhNHCase Management Agency$0$11M
    Metro Treatment Of New Hampshire, LPNHMethadone Clinic$404K$10.4M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Community Bridges — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire