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.

Mainehealth Care At Home (NPI 1275510844)

Field	Value
Entity Type	Organization
Organization	Mainehealth Care At Home
Address	15 Industrial Park Rd
City	Saco
State	ME
ZIP	04072
Taxonomy	Home Health Agency
NPI Enumerated	December 27, 2005

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	45,200	$80	$3.8M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	55,630	$70	$3.7M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	29,390	$90	$2.6M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	6,830	$110	$724.3K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	2,700	$100	$264.5K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	3,910	$30	$97.8K
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	490	$60	$29.8K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1,000	$30	$26.1K
0031A	N/A	70	$20	$1.1K
0012A	N/A	30	$10	$180

Showing 1–10 of 24

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

Mainehealth Care At Home — 2 of 11 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	6	50	8,360	$150	$2.9M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	2	10	6,830	$130	$807K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	1	20	1,540	$90	$757.4K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1	10	1,450	$90	$563.2K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	10	20	1,150	$130	$396K
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	3	10	2,360	$40	$83.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	147	190	390	$20	$42.6K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	12	20	2,780	$10	$40.9K
A4452	Tape, waterproof, per 18 square inches	4	10	370	$30	$18.6K
G0008	Administration of influenza virus vaccine	63	260	110	$20	$17.8K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Mainehealth Care At Home, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sweetser	ME	Mental Illness Community Based Residential Treatment Facility	$0	$98.1M
Sweetser	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$80.6M
Qaisi Homecare Inc	ME	In Home Supportive Care Agency	$0	$9.2M
Sweetser	ME	Community/Behavioral Health Agency	$0	$8.1M
Everest Recovery Centers - Maine	ME	Substance Use Disorder Rehabilitation Clinic/Center	$147K	$7.9M
Sweetser	ME	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.5M
Saco School Department	ME	Local Education Agency (LEA)	$0	$1.7M
Island Institute For Trauma Recovery LLC	ME	Community/Behavioral Health Agency	$0	$1.7M
City Of Saco	ME	Ambulance	$269.2K	$1.3M
Maine Medical Partners	ME	Pediatrics Physician	$0	$1.4M

Mainehealth Care At Home — Billing Profile & Reimbursement Data

Sign up for Mainehealth Care At Home — Billing Profile & Reimbursement Data policy alerts

Mainehealth Care At Home — Billing Profile & Reimbursement Data

Sign up for Mainehealth Care At Home — 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