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.

Gallant Therapy Services (NPI 1124253760)

Field	Value
Entity Type	Organization
Organization	Gallant Therapy Services
Address	12 Shuman Ave Ste 16
City	Augusta
State	ME
ZIP	04330
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 27, 2009

Payer Source	Total Paid
Medicaid	$20.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	70,260	$140	$9.6M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	79,140	$70	$5.5M
H2021	Community-based wrap-around services, per 15 minutes	19,750	$170	$3.3M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	25,840	$40	$1.1M
T2017	Habilitation, residential, waiver; 15 minutes	3,730	$130	$481.7K
H2023	Supported employment, per 15 minutes	2,680	$130	$354.3K
97755	In this procedure, the provider performs an assessment of a patient with a disability to decide the best assistive technology. Assistive technology devices are devices that assist a patient who has a…	290	$370	$106.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	40	$150	$6.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	80	$80	$6.1K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	340	$10	$4.5K

Showing 1–10 of 14

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

Gallant Therapy Services — 3 of 13 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	8	70	13,340	$200	$5.1M
H2021	Community-based wrap-around services, per 15 minutes	29	100	8,660	$290	$5.1M
T2017	Habilitation, residential, waiver; 15 minutes	24	30	8,960	$260	$3M
H2023	Supported employment, per 15 minutes	10	20	2,330	$160	$673K
97755	In this procedure, the provider performs an assessment of a patient with a disability to decide the best assistive technology. Assistive technology devices are devices that assist a patient who has a…	2	10	1,210	$180	$219.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	5	140	1,690	$40	$168K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1	200	1,410	$30	$150.6K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	15	20	840	$40	$80.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	68	80	2,200	$10	$44.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	36	50	300	$20	$26.1K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Gallant Therapy Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainegeneral Medical Center	ME	General Acute Care Hospital	$0	$168.1M
Motivational Services Inc	ME	Voluntary or Charitable Agency	$0	$92.2M
Employment Specialists Of Maine, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$84.2M
Crisis And Counseling Centers, Inc.	ME	Mental Health Counselor	$0	$21M
Children's Center: Early Intervention And Family Support, Inc.	ME	Specialist	$0	$13.6M
Central Maine Area Agency On Aging	ME	In Home Supportive Care Agency	$0	$13.5M
Anglez Behavioral Health Services PA	ME	Case Management Agency	$0	$12.5M
Kennebec Pharmacy And Home Care LLC	ME	Parenteral & Enteral Nutrition Supplies (DME)	$0	$11.6M
Kennebec Home Care LLC	ME	Home Health Agency	$0	$9.6M
Central Maine Area Agency On Aging	ME	Case Management Agency	$0	$8.7M

Gallant Therapy Services — Billing Profile & Reimbursement Data

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Gallant Therapy Services — 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