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.

Community Crossroads, Inc. (NPI 1972662328)

Field	Value
Entity Type	Organization
Organization	Community Crossroads, Inc.
Address	8 Commerce Dr
City	Atkinson
State	NH
ZIP	03811
Taxonomy	Case Management Agency
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$177.1M
Medicare	$0

Key Findings

COMMUNITY CROSSROADS, INC. is effectively a single-payer Medicaid provider with no Medicare billing on file; its lifetime Medicaid revenue is $177.1M and Medicare revenue is none, indicating operations are focused entirely within the Medicaid program rather than the Medicare market. The provider's NPI was enumerated on 2006-12-08 (about 20 years ago), establishing a long-tenured presence in the state Medicaid network.

Revenue concentration is extremely high: the three top Medicaid codes by revenue together account for 89.5% of the provider's total Medicaid revenue, signaling that a small set of service lines dominate the business. That concentration suggests financial exposure to reimbursement or policy changes affecting those specific codes.

The dominant single code is T1020 (Personal care services, per diem), which generated $90.6M in revenue (51.1% of this provider's Medicaid revenue). While the volume is large, the provider ranks #10 of 41 in-state (78th percentile), which indicates it is a substantial but not uniquely dominant statewide player for personal care services. This positioning implies sizable scale in direct personal-care delivery rather than niche or rare services.

Two other codes — T2021 (Day habilitation, waiver) with $34.6M (19.6% of Medicaid revenue) and T2025 (Waiver services NOS) with $33.3M (18.8% of Medicaid revenue) — together make up the remainder of the top-three concentration. Both codes rank in the mid-range of in-state peers (T2021: #8 of 39, 82nd percentile; T2025: #8 of 14, 46th percentile), suggesting the organization is a meaningful provider of habilitation and unspecified waiver services but not the statewide leader across those lines.

Service mix and code descriptions indicate COMMUNITY CROSSROADS operates primarily as a community-based long-term support and developmental-disability services provider: high-paid-per-claim T1020 personal care and per-15-minute day habilitation (T2021) reflect hands-on direct-support and programmatic habilitation activity, while T2025 as a catch-all waiver service likely captures higher-acuity or bundled waiver arrangements. The presence of both per-diem and per-15-minute codes implies the organization delivers both ongoing personal care and structured day-program services.

A standout utilization anomaly is T1016 (Case management, each 15 minutes): with 403K claims and $5.6M revenue this provider ranks #1 of 33 in-state (100th percentile) and is labeled an "extreme outlier, far above typical state volume for this code." That suggests an exceptionally high volume of short-interval case-management billing relative to peers, which is a distinctive operational characteristic and a potential driver of administrative scale.

Other case-management and targeted case-management codes (T2022, T2023) and related supports (T1005 respite, H2023 supported employment) represent a secondary tier of revenue, each contributing modest single-digit shares of Medicaid revenue. These codes’ in-state ranks are generally mid-to-high percentile (for example, T2022 is #5 of 23, 82nd percentile; T1005 is #4 of 13, 75th percentile), which supports the view that the provider maintains a broad portfolio of waiver and support services beyond its top three revenue drivers.

Given the absence of Medicare billing and the Medicaid-centric revenue profile, competitive assessments and payer negotiations should be assessed against in-state Medicaid peers rather than Medicare benchmarks. The provider’s long tenure (NPI since 2006) and concentrated revenue base in a few Medicaid service lines make it operationally important within New Hampshire’s waiver and personal-care ecosystem, but its in-state ranks indicate it is a major participant rather than the single dominant provider across most codes.

Medicaid: Complete Services Breakdown

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
T1020	Personal 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…	246,750	$370	$90.6M
T2021	Day habilitation, waiver; per 15 minutes	192,490	$180	$34.6M
T2025	Waiver services; not otherwise specified (nos)	19,980	$1,670	$33.3M
T2022	Case management, per month	27,480	$220	$6.2M
T1016	Case management, each 15 minutes	403,010	$10	$5.6M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	8,540	$250	$2.2M
T2023	Targeted case management; per month	7,160	$220	$1.6M
T1005	Respite care services, up to 15 minutes	24,990	$60	$1.6M
H2023	Supported employment, per 15 minutes	9,720	$100	$991.3K
H2015	Comprehensive community support services, per 15 minutes	4,650	$80	$390.9K

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

Community Crossroads, Inc. — 1 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
T1020	Personal 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…	10	40	14,020	$330	$32.2M
T2025	Waiver services; not otherwise specified (nos)	8	10	20,960	$1,140	$26.7M
T2021	Day habilitation, waiver; per 15 minutes	8	40	11,650	$170	$12.7M
T1016	Case management, each 15 minutes	1	30	35,170	$170	$12.5M
T2022	Case management, per month	5	20	4,510	$240	$3.5M
T2023	Targeted case management; per month	8	10	10,730	$230	$3.2M
H2023	Supported employment, per 15 minutes	16	30	11,450	$120	$2.3M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	10	20	10,250	$240	$2.2M
T1005	Respite care services, up to 15 minutes	4	10	18,880	$90	$1.6M
H2015	Comprehensive community support services, per 15 minutes	18	30	10,280	$90	$1.5M

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Visions, LLC	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.5M

Community Crossroads, Inc. — Billing Profile & Reimbursement Data

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Community Crossroads, 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

Nearby Providers

Frequently Asked Questions

References