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.

Break Of Day Mental Health Group Inc (NPI 1205163235)

Field	Value
Entity Type	Organization
Organization	Break Of Day Mental Health Group Inc
Address	82 Greenleaf Rd
City	Westport Island
State	ME
ZIP	04578
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 12, 2009

Payer Source	Total Paid
Medicaid	$5.3M
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
H2015	Comprehensive community support services, per 15 minutes	25,810	$120	$3.1M
H2014	Skills training and development, per 15 minutes	6,310	$200	$1.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	8,370	$120	$962.9K
H2000	Comprehensive multidisciplinary evaluation	40	$120	$4.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	30	$80	$2.6K

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

Break Of Day Mental Health Group Inc — 0 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
H2017	Psychosocial rehabilitation services, per 15 minutes	11	20	16,420	$120	$3.6M
H2015	Comprehensive community support services, per 15 minutes	18	70	7,120	$100	$1.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	281	290	860	$80	$805.1K
H2014	Skills training and development, per 15 minutes	4	10	990	$110	$437.2K
H2000	Comprehensive multidisciplinary evaluation	59	90	70	$100	$35.4K

Nearby Providers

Other providers in the same ZIP code as Break Of Day Mental Health Group Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wiscasset Family Health	ME	Family Medicine Physician	$0	$834.4K
Mainehealth	ME	Family Medicine Physician	$0	$357.8K
Town Of Wiscasset	ME	Ambulance	$65.2K	$106.7K
Jennifer Wright	ME	Family Nurse Practitioner	$22.3K	$0

Break Of Day Mental Health Group Inc — Billing Profile & Reimbursement Data

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Break Of Day Mental Health Group Inc — 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