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.

Catholic Medical Center (NPI 1972559904)

Catholic Medical Center is a family medicine physician provider located in Bedford, New Hampshire. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Catholic Medical Center
Address	20 Washington Pl
City	Bedford
State	NH
ZIP	03110
Taxonomy	Family Medicine Physician
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicaid	$180.4K
Medicare	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,880	$30	$86.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,610	$50	$74K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	170	$60	$9.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	30	$70	$2.1K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	260	$10	$1.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	290	$10	$1.5K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	30	$40	$1.4K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	300	$1	$1.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	230	$10	$1.1K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	20	$50	$880

Showing 1–10 of 11

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

Catholic Medical Center — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	142	420	480	$50	$223.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	103	400	350	$30	$140.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	20	30	210	$200	$104.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	100	170	$70	$51.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	18	20	70	$230	$39K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	73	110	90	$80	$31.3K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	17	20	290	$20	$9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	53	120	220	$10	$8.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	40	60	780	$1	$8.3K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	12	30	240	$1	$2.3K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catholic Medical Center	NH	General Acute Care Hospital	$0	$19.8M
Appledore Medical Group, Inc	NH	Internal Medicine Physician	$0	$1.4M
Catholic Healthcare Trust	NH	Federally Qualified Health Center (FQHC)	$0	$1.3M
Todd Daugherty	NH	Rheumatology Physician	$1.1M	$0
Ayobami Ojutalayo	MA	Family Medicine Physician	$521.7K	$1.6K
Catholic Medical Center	NH	Cardiovascular Disease Physician	$0	$489.4K
Catholic Medical Center	NH	General Acute Care Hospital	$0	$472.3K
Cmc D/b/a Urgent Care At Bedford Medical Park	NH	Urgent Care Clinic/Center	$0	$306.3K
Rajesh Mohan	NJ	Cardiovascular Disease Physician	$301.9K	$0
Dingxin Qin	NH	Clinical Cardiac Electrophysiology Physician	$221.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc.	NH	Home Health Agency	$0	$15.9M
Infusion Solutions, Inc.	NH	Home Infusion Therapy Pharmacy	$0	$8.4M
Eminence Home Care LLC	NH	In Home Supportive Care Agency	$0	$3M
Bedford Ambulatory Surgical Center, LLC	NH	Ambulatory Surgical Clinic/Center	$2.4M	$146K
Minimally Invasive Surgery Center Of N.e., LLC	NH	Ambulatory Surgical Clinic/Center	$2.1M	$169.5K
Bedford School District	NH	Local Education Agency (LEA)	$0	$1.9M
Southern New Hampshire Radiology Consultants PC	NH	Diagnostic Radiology Physician	$0	$1.6M
Dream Vision LLC	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$1.5M
Alliance Health Services	NH	Family Medicine Physician	$0	$1.5M
Milestones Pediatric Therapy Center, LLC	NH	Speech-Language Pathologist	$0	$998.3K

Catholic Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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