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.

Eastport Health Care, Inc. (NPI 1093752917)

Field	Value
Entity Type	Organization
Organization	Eastport Health Care, Inc.
Address	30 Boynton St
City	Eastport
State	ME
ZIP	04631
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	18,730	$180	$3.3M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	5,760	$60	$334K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	840	$100	$81K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	750	$70	$53.1K
D1120	Prophylaxis–child	1,270	$40	$46.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,170	$30	$36.3K
D0120	Periodic oral evaluation - established patient	1,330	$20	$29.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,850	$10	$25.8K
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…	7,390	$1	$14.8K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	190	$40	$8K

Showing 1–10 of 47

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

Eastport Health Care, Inc. — 0 of 25 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	48	180	8,540	$180	$3M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	17	80	3,000	$50	$269.8K
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…	125	460	1,240	$30	$190K
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…	96	480	1,030	$20	$128.9K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	29	30	640	$60	$96.3K
D2392	Post 2 surface resin‑based composite	51	80	260	$80	$88.2K
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…	129	170	380	$50	$63.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	76	140	470	$30	$59K
D1120	Prophylaxis–child	54	160	500	$30	$56.2K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	13	70	220	$70	$54K

Showing 1–10 of 47

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eastport Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastport Health Care, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$5.1M
Judy Splittgerber	ME	Psychiatric/Mental Health Nurse Practitioner	$0	$420.4K
Talal Khan	MA	Internal Medicine Physician	$190.7K	$0
Kenneth Tan	CA	Diagnostic Radiology Physician	$146.5K	$5.5K
Andrew Thornton	ME	Nephrology Physician	$114.1K	$0
Gary Degen	ME	Foot & Ankle Surgery Podiatrist	$27.9K	$0
Jordan Porter	ME	Family Nurse Practitioner	$760	$0
Ann O'brien	ME	Psychiatric/Mental Health Nurse Practitioner	$570	$0

Nearby Providers

Other providers in the same ZIP code as Eastport Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Opportunities	ME	Mental Illness Community Based Residential Treatment Facility	$0	$9.9M
Bio-medical Applications Of Maine, Inc.	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$809.4K

Eastport Health Care, Inc. — Billing Profile & Reimbursement Data

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Eastport Health Care, 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