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.

Day One (NPI 1164484093)

Field	Value
Entity Type	Organization
Organization	Day One
Address	86 Tandberg Trl
City	Windham
State	ME
ZIP	04062
Taxonomy	Children's Substance Abuse Rehabilitation Facility
NPI Enumerated	April 5, 2006

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	3,280	$1,090	$3.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	13,660	$70	$915.1K
H2010	Comprehensive medication services, per 15 minutes	4,820	$120	$592.4K
T1041	Medicaid certified community behavioral health clinic services, per month	170	$360	$61.9K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	170	$250	$41K
T2022	Case management, per month	10	$350	$4.2K
T1017	Targeted case management, each 15 minutes	30	$70	$2.4K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	10	$150	$1.8K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	10	$110	$1.3K
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…	50	$20	$740

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

Day One — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	3	10	2,780	$740	$3.6M
H2010	Comprehensive medication services, per 15 minutes	19	50	3,690	$130	$1.6M
T1017	Targeted case management, each 15 minutes	101	100	4,690	$90	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	42	290	860	$80	$805.1K
T2022	Case management, per month	36	40	800	$190	$780.3K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	25	30	750	$240	$312.9K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	26	30	740	$240	$301.1K
T1041	Medicaid certified community behavioral health clinic services, per month	6	10	440	$390	$226K
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…	418	460	1,240	$30	$190K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	6	10	440	$250	$142.1K

Nearby Providers

Other providers in the same ZIP code as Day One, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legends Residential Care LLC	ME	In Home Supportive Care Agency	$0	$32.9M
Crossroads For Women, Inc.	ME	Substance Abuse Rehabilitation Facility	$0	$10.4M
Southern Maine Chidlren's Academy, LLC	ME	Community/Behavioral Health Agency	$0	$9.4M
All Med Staffing Of New England	ME	In Home Supportive Care Agency	$0	$9.1M
Home Support Services, LLC	ME	In Home Supportive Care Agency	$0	$2.8M
Caring Counseling For You Inc.	ME	Mental Health Counselor	$0	$1.8M
Mainehealth	ME	Internal Medicine Physician	$0	$1.3M
Town Of Windham	ME	Land Ambulance	$161.2K	$984.4K
Maine Medical Partners	ME	Family Medicine Physician	$0	$347.3K
Riverview Physical Therapy Limited Partnership	ME	Physical Therapy Clinic/Center	$0	$333.2K

Day One — Billing Profile & Reimbursement Data

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Day One — 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