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.

Southwestern Community Services (NPI 1962611418)

Field	Value
Entity Type	Organization
Organization	Southwestern Community Services
Address	69z Island St
City	Keene
State	NH
ZIP	03431
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$621.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	3,580	$160	$586.8K
H2023	Supported employment, per 15 minutes	210	$110	$24K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	610	$20	$10.3K

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

Southwestern Community Services — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	33	40	11,650	$170	$12.7M
H2023	Supported employment, per 15 minutes	29	30	11,450	$120	$2.3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	38	100	250	$20	$46.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monadnock Developmental Services	NH	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$184M
Monadnock Family Services	NH	Community/Behavioral Health Agency	$0	$47.8M
Residential Resources Of Maine	NH	Community/Behavioral Health Agency	$0	$40.1M
Live Free Recovery Services, LLC	NH	Substance Abuse Rehabilitation Facility	$0	$19.1M
Cheshire Medical Center	NH	Medicare Defined Swing Bed Hospital Unit	$0	$8.7M
Chesco	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.1M
County Of Cheshire	NH	Case Manager/Care Coordinator	$0	$7.7M
Montshire Pediatric Dentistry, PC	NH	Pediatric Dentistry	$0	$7.1M
Monadnock Collaborative	NH	Case Management Agency	$0	$5.6M
Cheshire Medical Center	NH	Family Medicine Physician	$0	$4.6M

Southwestern Community Services — Billing Profile & Reimbursement Data

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Southwestern Community Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References