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.

Healing Hearts LLC (NPI 1184967077)

Field	Value
Entity Type	Organization
Organization	Healing Hearts LLC
Address	7 Prospect St
City	Caribou
State	ME
ZIP	04736
Taxonomy	Mental Health Counselor
NPI Enumerated	March 29, 2013

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	9,610	$80	$778.6K
T1017	Targeted case management, each 15 minutes	1,920	$70	$130.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	5,100	$30	$127.5K
H2015	Comprehensive community support services, per 15 minutes	70	$130	$9.3K

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

Healing Hearts LLC — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	69	70	7,120	$100	$1.7M
T1017	Targeted case management, each 15 minutes	69	100	4,690	$90	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	46	290	860	$80	$805.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	6	140	470	$30	$59K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Healing Hearts LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paula Cyr	ME	Clinical Social Worker	$34.2K	$0

Nearby Providers

Other providers in the same ZIP code as Healing Hearts LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aroostook Home Health Services	ME	Home Health Agency	$0	$15.8M
Pines Health Services	ME	Internal Medicine Physician	$0	$7.6M
Pines Health Services	ME	Obstetrics & Gynecology Physician	$0	$7.1M
City Of Caribou	ME	General Acute Care Hospital	$0	$3M
City Of Caribou	ME	Land Ambulance	$312.2K	$1.6M
Lincare Inc.	ME	Durable Medical Equipment & Medical Supplies	$0	$1.5M
County Physical Therapy, LLC	ME	Physical Therapist	$0	$802.4K
Your Journey, LLC	ME	Community/Behavioral Health Agency	$0	$676.2K
David Conner	ME	Family Medicine Physician	$45.4K	$579.4K
Craig K. Small O.d. Family Eye Care	ME	Optometrist	$0	$522.7K

Healing Hearts LLC — Billing Profile & Reimbursement Data

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Healing Hearts LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References