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.

Redington-fairview General Hospital (NPI 1174549133)

Redington-fairview General Hospital is a critical access hospital provider located in Skowhegan, Maine. This profile covers 0 Medicare and 396 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Redington-fairview General Hospital
Address	46 Fairview Ave
City	Skowhegan
State	ME
ZIP	04976
Taxonomy	Critical Access Hospital
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

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

396 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	13,580	$60	$787.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	34,390	$20	$687.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,980	$120	$607.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	55,370	$10	$387.6K
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…	96,900	$1	$290.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4,520	$60	$280.3K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	1,070	$180	$195.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,860	$100	$193.5K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,550	$120	$183K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	6,530	$20	$143.6K

Showing 1–10 of 396

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

Redington-fairview General Hospital — 3 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

396 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10	60	9,550	$100	$1.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	11	60	4,690	$180	$1.5M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	3	50	11,590	$60	$942.4K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	18	100	670	$200	$363.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	14	60	2,380	$90	$345.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	17	30	200	$250	$316.8K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	19	100	660	$180	$316.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10	40	5,020	$40	$302.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	25	40	3,970	$60	$299.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	21	40	1,830	$90	$292.9K

Showing 1–10 of 396

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Redington-fairview General Hospital	ME	Rural Health Clinic/Center	$0	$1M
Ellie Mueller	ME	Interventional Cardiology Physician	$201.2K	$0
Brian Ewy	ME	Diagnostic Radiology Physician	$151.6K	$7.5K
George Polkinghorn	ME	Medical Oncology Physician	$83.8K	$0
Devesh Agarwal	ME	Family Medicine Physician	$79.8K	$0
Michael Monzel	ME	Gastroenterology Physician	$55.4K	$0
Jorge Escobar Valle	PA	Cardiovascular Disease Physician	$54.7K	$0
Adam Caldwell	ME	Cardiovascular Disease Physician	$54.1K	$0
Heinrich Grube	ME	Cardiovascular Disease Physician	$54K	$0
David Frost	ME	Cardiovascular Disease Physician	$52.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine Behavioral Health Organization	ME	Community/Behavioral Health Agency	$0	$11.1M
Rachelle Nunn	ME	In Home Supportive Care Agency	$0	$5.4M
E.c.c.o.	ME	Community/Behavioral Health Agency	$0	$2.7M
Dialysis Clinic Inc.	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.5M
School Administrative District No 54	ME	Local Education Agency (LEA)	$0	$504.6K
Skowhegan Imaging Associates, P.A.	ME	Diagnostic Radiology Physician	$0	$349.9K
Aalia Fathima Mohamed Ghouse	ME	Internal Medicine Physician	$94.8K	$0
Daniel Stadler	ME	Internal Medicine Physician	$90.2K	$0
Insight-premier Health LLC	ME	Diagnostic Radiology Physician	$27.1K	$57.8K
Michael Berry	ME	Diagnostic Radiology Physician	$33.4K	$0

Redington-fairview General Hospital — Billing Profile & Reimbursement Data

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Redington-fairview General Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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