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.

New Tides Residential (NPI 1144812306)

Field	Value
Entity Type	Organization
Organization	New Tides Residential
Address	321 North St Unit 2
City	Saco
State	ME
ZIP	04072
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 9, 2021

Payer Source	Total Paid
Medicaid	$854.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9012	Other specified case management service not elsewhere classified	6,620	$130	$854.5K

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

New Tides Residential — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9012	Other specified case management service not elsewhere classified	34	50	25,820	$80	$3M

Nearby Providers

Other providers in the same ZIP code as New Tides Residential, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sweetser	ME	Mental Illness Community Based Residential Treatment Facility	$0	$98.1M
Sweetser	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$80.6M
Mainehealth Care At Home	ME	Home Health Agency	$0	$11.3M
Qaisi Homecare Inc	ME	In Home Supportive Care Agency	$0	$9.2M
Sweetser	ME	Community/Behavioral Health Agency	$0	$8.1M
Everest Recovery Centers - Maine	ME	Substance Use Disorder Rehabilitation Clinic/Center	$147K	$7.9M
Sweetser	ME	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.5M
Saco School Department	ME	Local Education Agency (LEA)	$0	$1.7M
Island Institute For Trauma Recovery LLC	ME	Community/Behavioral Health Agency	$0	$1.7M
City Of Saco	ME	Ambulance	$269.2K	$1.3M

New Tides Residential — Billing Profile & Reimbursement Data

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New Tides Residential — 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