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    OpenPayerNPI Medicare & MedicaidCalais Community Hospital
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    Calais Community Hospital — Billing Profile & Reimbursement Data

    NPI 1134200702 · Calais, ME · Rural Health Clinic/Center

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    Calais Community Hospital is a rural health clinic/center provider located in Calais, Maine. This profile covers 0 Medicare and 26 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCalais Community Hospital
    Address37 Palmer St
    CityCalais
    StateME
    ZIP04619
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedOctober 18, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive19,510$150$2.9M
    99213The 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…13,200$10$118.8K
    99214The 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…8,950$10$80.6K
    99347The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…330$20$6.3K
    92551The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.420$10$4.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…610$1$1.8K
    G0511Rural 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…10$120$1.5K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…40$30$1.4K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…20$70$1.2K
    99215The 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…60$20$950

    Showing 1–10 of 26

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maine median

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive451808,540$180$3M
    99214The 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…734601,240$30$190K
    99213The 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…574801,030$20$128.9K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…56701,060$40$97K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…47701,000$40$91K
    99215The 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…133170380$50$63.7K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.4980540$40$61.6K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.60190390$20$42.6K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.5090150$40$31.9K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.6970260$30$26.8K

    Showing 1–10 of 26

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Calais Community Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Calais Community HospitalMECritical Access Hospital$0$1.8M
    Philip McdonaldFLDiagnostic Radiology Physician$444.3K$42.8K
    Abbas ChamsuddinILDiagnostic Radiology Physician$368.8K$114.2K
    Andre BonnetNJEmergency Medicine Physician$448.2K$9.9K
    Elliott WagnerCADiagnostic Radiology Physician$392.6K$7.3K
    Serge SomrovMNDiagnostic Radiology Physician$116.4K$310
    Jonathan EvansMEPulmonary Disease Physician$112.8K$0
    Alexander SerraMIDiagnostic Radiology Physician$100.6K$0
    David CohenMEPulmonary Disease Physician$70.5K$0
    Zaki NashedMEDiagnostic Radiology Physician$67.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Calais Community Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    CalaisMELocal Education Agency (LEA)$0$7M
    Discovery House Wc, Inc.MEMethadone Clinic$109.5K$5.7M
    Sunrise OpportunitiesMEDevelopmentally Disabled Services Day Training Agency$0$3.6M
    City Of CalaisMELand Ambulance$235.6K$1M
    St Croix Regional Family Health CenterMEFederally Qualified Health Center (FQHC)$0$921.1K
    Sunrise Eye Care PAMEOptometrist$0$409K
    Wal-mart Stores East LPMECommunity/Retail Pharmacy$108.6K$700
    Carina OrcuttMEOptometrist$44K$0
    Jennifer KehrerMEOptometrist$42.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Maine Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    Calais Community Hospital — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine