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.

Nfi North, Inc (NPI 1972875797)

Field	Value
Entity Type	Organization
Organization	Nfi North, Inc
Address	30 Davenport Road
City	Jefferson
State	NH
ZIP	03583
Taxonomy	Foster Care Agency
NPI Enumerated	February 9, 2012

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-only biller: there is no Medicare billing on file and reported lifetime Medicaid revenue totals $11M. The provider’s NPI has been enumerated since 2012-02-09 (~14 years ago), indicating an established presence in the market.

Revenue is highly concentrated in a very narrow set of service lines: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with H2022 representing 51.3% and H0040 representing 48.7% of Medicaid revenue. This means all reported Medicaid dollars are driven by these per-diem behavioral health codes rather than a broader mix of services.

Code-level volumes and unit payments show different operational dynamics: H0040 has 80.2K claims at an average paid/claim of $67 and $5.4M revenue, while H2022 has 21.2K claims at an average paid/claim of $267 and $5.7M revenue. The provider achieves near-equal revenue from a high-volume, low-unit-payment code (H0040) and a lower-volume, higher-unit-payment code (H2022), suggesting parallel daily-service streams with different intensity and reimbursement structures.

Business/service-line implications from the taxonomy and code descriptions point to intensive community behavioral-health operations: as a Foster Care Agency billing H2022 (Community-based wrap-around services, per diem) and H0040 (Assertive community treatment program, per diem), the provider appears focused on per-diem, team-delivered wrap-around and ACT services rather than episodic medical care. This mix implies capacity- and staffing-driven revenue, with reimbursement tied to days of service and program enrollment.

Competitive standing differs by code within the state: for H0040 the provider ranks #1 of 12 in-state (100th percentile; labeled an extreme outlier and far above typical state volume), indicating dominance in assertive community treatment billing. For H2022 the provider ranks #4 of 15 in-state (79th percentile; described as typical, unremarkable volume), positioning it as a solid but not leading statewide participant in community-based wrap-around services.

The concentration of all Medicaid revenue in just these per-diem behavioral health codes creates revenue dependency risk: with 100.0% of Medicaid dollars tied to H2022 and H0040, any policy, rate, or authorization changes affecting per-diem community behavioral health could materially affect this provider’s financials. Given Medicaid is the sole reported payer, this dependency is amplified relative to a more diversified payer mix.

Operational indicators underscore a programmatic model: the very high H0040 claim count (80.2K claims) paired with its classification as an extreme outlier suggests the provider operates large-scale, high-frequency ACT programming in-state, while H2022’s higher average paid/claim ($267) indicates complementary wrap-around services that bill at larger daily rates. Together these patterns point to a dual-service strategy of intensive team-based ACT plus higher-unit wrap-around care.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	21,170	$270	$5.7M
H0040	Assertive community treatment program, per diem	80,160	$70	$5.4M

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

Nfi North, Inc — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	4	20	3,860	$200	$5M
H0040	Assertive community treatment program, per diem	1	10	3,700	$270	$2.8M

Nfi North, Inc — Billing Profile & Reimbursement Data

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Nfi North, 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

Frequently Asked Questions

References