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.

Discovery House Wc, Inc (NPI 1093411647)

Field	Value
Entity Type	Organization
Organization	Discovery House Wc, Inc
Address	431 Franklin St Ste 1
City	Rumford
State	ME
ZIP	04276
Taxonomy	Methadone Clinic
NPI Enumerated	February 6, 2023

Payer Source	Total Paid
Medicaid	$576.5K
Medicare	$0

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
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	3,260	$180	$570.3K
T2022	Case management, per month	20	$360	$6.2K

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

Discovery House Wc, Inc — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	13	10	61,180	$110	$9.2M
T2022	Case management, per month	34	40	800	$190	$780.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Discovery House Wc, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Discovery House Wc, Inc.	ME	Methadone Clinic	$109.5K	$5.7M
Discovery House Wc, Inc.	ME	Methadone Clinic	$0	$4M

Nearby Providers

Other providers in the same ZIP code as Discovery House Wc, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Association	ME	Developmentally Disabled Services Day Training Agency	$0	$10.2M
Rumford Community Family Health Center, Inc.	ME	Rural Health Clinic/Center	$0	$6.7M
Community Concepts Incorporated	ME	Community/Behavioral Health Agency	$0	$6.6M
Rumford Hospital	ME	Critical Access Hospital	$0	$2.4M
Rumford Group Homes Inc	ME	Case Management Agency	$0	$2.3M
Lincare Inc.	ME	Durable Medical Equipment & Medical Supplies	$0	$2M
River Valley Counseling LLC	ME	Community/Behavioral Health Agency	$0	$779.2K
Mountain View Eyecare, P.A.	ME	Optometrist	$0	$442.3K

Discovery House Wc, Inc — Billing Profile & Reimbursement Data

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Discovery House Wc, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References