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.

Southern Maine Chidlren's Academy, LLC (NPI 1275978769)

Field	Value
Entity Type	Organization
Organization	Southern Maine Chidlren's Academy, LLC
Address	32 Tandberg Trl
City	Windham
State	ME
ZIP	04062
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 9, 2013

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	28,810	$320	$9.3M
G9007	Coordinated care fee, scheduled team conference	1,040	$80	$85.9K

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

Southern Maine Chidlren's Academy, LLC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	20	100	8,660	$290	$5.1M
G9007	Coordinated care fee, scheduled team conference	12	30	950	$60	$258.2K

Nearby Providers

Other providers in the same ZIP code as Southern Maine Chidlren's Academy, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legends Residential Care LLC	ME	In Home Supportive Care Agency	$0	$32.9M
Crossroads For Women, Inc.	ME	Substance Abuse Rehabilitation Facility	$0	$10.4M
All Med Staffing Of New England	ME	In Home Supportive Care Agency	$0	$9.1M
Day One	ME	Children's Substance Abuse Rehabilitation Facility	$0	$5.2M
Home Support Services, LLC	ME	In Home Supportive Care Agency	$0	$2.8M
Caring Counseling For You Inc.	ME	Mental Health Counselor	$0	$1.8M
Mainehealth	ME	Internal Medicine Physician	$0	$1.3M
Town Of Windham	ME	Land Ambulance	$161.2K	$984.4K
Maine Medical Partners	ME	Family Medicine Physician	$0	$347.3K
Riverview Physical Therapy Limited Partnership	ME	Physical Therapy Clinic/Center	$0	$333.2K

Southern Maine Chidlren's Academy, LLC — Billing Profile & Reimbursement Data

Sign up for Southern Maine Chidlren's Academy, LLC — Billing Profile & Reimbursement Data policy alerts

Southern Maine Chidlren's Academy, LLC — Billing Profile & Reimbursement Data

Sign up for Southern Maine Chidlren's Academy, 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