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.

Enso, LLC (NPI 1194232819)

Field	Value
Entity Type	Organization
Organization	Enso, LLC
Address	103 India St
City	Portland
State	ME
ZIP	04101
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	January 3, 2018

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	15,020	$150	$2.2M
H2010	Comprehensive medication services, per 15 minutes	6,570	$70	$473.3K
T1017	Targeted case management, each 15 minutes	4,970	$80	$387.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	7,040	$50	$358.9K
H2000	Comprehensive multidisciplinary evaluation	70	$80	$5.4K

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

Enso, LLC — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2010	Comprehensive medication services, per 15 minutes	12	50	3,690	$130	$1.6M
T1017	Targeted case management, each 15 minutes	51	100	4,690	$90	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	59	290	860	$80	$805.1K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	2	30	1,440	$160	$515.5K
H2000	Comprehensive multidisciplinary evaluation	49	90	70	$100	$35.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	Community/Behavioral Health Agency	$0	$115M
Goodwill Industries Of Northern New England	ME	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$106M
Maine Vocational Associates, Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$34.3M
Catholic Charities Maine	ME	Clinical Social Worker	$0	$17.7M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.8M
Milestone Recovery	ME	Substance Abuse Rehabilitation Facility	$0	$8.8M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$7.4M
Black Bear Medical, Inc.	ME	Customized Equipment (DME)	$0	$7.4M
Usa Family Well Being Services LLC	ME	Community/Behavioral Health Agency	$0	$6.3M
City Of Portland	ME	Land Ambulance	$740.2K	$5.4M

Enso, LLC — Billing Profile & Reimbursement Data

Sign up for Enso, LLC — Billing Profile & Reimbursement Data policy alerts

Enso, LLC — Billing Profile & Reimbursement Data

Sign up for Enso, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References