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 Maine for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maine 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. Maine (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.

Blue Sky Counseling P.C. (NPI 1093198947)

Field	Value
Entity Type	Organization
Organization	Blue Sky Counseling P.C.
Address	32 College Ave Ste 203
City	Waterville
State	ME
ZIP	04901
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 9, 2015

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	8,480	$350	$3M
H0047	Alcohol and/or other drug abuse services, not otherwise specified	9,060	$310	$2.8M
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	9,060	$300	$2.7M
H2010	Comprehensive medication services, per 15 minutes	14,840	$110	$1.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	14,110	$70	$1M
T1012	Alcohol and/or substance abuse services, skills development	540	$480	$258.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	5,070	$30	$167.1K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	270	$100	$26.4K
T1041	Medicaid certified community behavioral health clinic services, per month	60	$310	$18.8K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	60	$200	$12.5K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.

Claims Volume vs. Maine Distribution

Blue Sky Counseling P.C. — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2010	Comprehensive medication services, per 15 minutes	9	50	3,690	$130	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	41	290	860	$80	$805.1K
T2022	Case management, per month	3	40	800	$190	$780.3K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	20	30	1,440	$160	$515.5K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	1	30	750	$240	$312.9K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	1	30	740	$240	$301.1K
T1041	Medicaid certified community behavioral health clinic services, per month	9	10	440	$390	$226K
T1012	Alcohol and/or substance abuse services, skills development	2	10	250	$480	$149.3K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	9	10	440	$250	$142.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	13	40	2,130	$20	$89.9K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Blue Sky Counseling P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kennebec Valley Mental Health Center	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$143M
Jmpb Inc.	ME	Community/Behavioral Health Agency	$0	$40.2M
Discovery House Of Central Maine, Inc.	ME	Methadone Clinic	$398.8K	$24.5M
Care & Comfort	ME	Mental Health Counselor	$0	$24.8M
Eastern Maine Healthcare Systems Inland Hospital	ME	General Acute Care Hospital	$0	$18.3M
Maine General Community Care	ME	Case Management Agency	$0	$11.4M
Delta Ambulance Corp.	ME	Land Ambulance	$985.5K	$9.8M
Paramount Behavioral Services, Inc	ME	Community/Behavioral Health Agency	$0	$9.3M
Waters Edge Therapy, Inc	ME	Community/Behavioral Health Agency	$0	$5.2M
R&k LLC	ME	Community/Behavioral Health Agency	$0	$4.6M

Blue Sky Counseling P.C. — Billing Profile & Reimbursement Data

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Blue Sky Counseling P.C. — 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