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.

Pediatric Associates Of Lewiston P.A. (NPI 1184709495)

Field	Value
Entity Type	Organization
Organization	Pediatric Associates Of Lewiston P.A.
Address	33 Mollison Way
City	Lewiston
State	ME
ZIP	04240
Taxonomy	Pediatrics Physician
NPI Enumerated	October 26, 2006

Payer Source	Total Paid
Medicaid	$13.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	60,210	$100	$6.1M
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…	34,010	$70	$2.4M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,120	$100	$697.6K
99392	Preventive 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…	6,670	$100	$654K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	29,540	$20	$620.3K
99391	Preventive 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…	5,750	$90	$534.7K
99215	The 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…	3,280	$130	$419.7K
T1013	Sign language or oral interpretive services, per 15 minutes	8,170	$40	$351.4K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	16,210	$20	$324.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,300	$110	$248K

Showing 1–10 of 82

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

Pediatric Associates Of Lewiston P.A. — 9 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

82 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	9	50	740	$90	$453.3K
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…	32	40	1,830	$90	$292.9K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	2	10	280	$200	$251.2K
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…	10	460	1,240	$30	$190K
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…	23	480	1,030	$20	$128.9K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	8	10	430	$60	$114.9K
99392	Preventive 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…	8	70	1,060	$40	$97K
99391	Preventive 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…	9	70	1,000	$40	$91K
99215	The 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…	15	170	380	$50	$63.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6	80	540	$40	$61.6K

Showing 1–10 of 82

Nearby Providers

Other providers in the same ZIP code as Pediatric Associates Of Lewiston P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Maine Medical Center	ME	General Acute Care Hospital	$0	$76.1M
Seniorsplus	ME	Case Management Agency	$0	$74.6M
Support Solutions Inc	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$72.9M
Alternative Services-ne, Inc.	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$71.6M
St. Mary's Regional Medical Center	ME	General Acute Care Hospital	$0	$67.4M
Coastal Community Care, LLC	ME	Community/Behavioral Health Agency	$0	$24.1M
Androscoggin Home Health Services, Inc.	ME	Home Health Agency	$0	$20.6M
R.i.s.e., Inc.	ME	In Home Supportive Care Agency	$0	$18.5M
Community Clinical Services, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$17.3M
Bright Future Healthier You	ME	Case Management Agency	$0	$17.1M

Pediatric Associates Of Lewiston P.A. — Billing Profile & Reimbursement Data

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Pediatric Associates Of Lewiston P.A. — 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