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.

Regional Home Care Inc (NPI 1336563196)

Field	Value
Entity Type	Organization
Organization	Regional Home Care Inc
Address	84 College Ave
City	Waterville
State	ME
ZIP	04901
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	February 13, 2014

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0601	Continuous positive airway pressure (CPAP) device	5,120	$120	$598.8K
A7030	Full face mask used with positive airway pressure device, each	2,830	$140	$387.3K
E0562	Humidifier, heated, used with positive airway pressure device	1,110	$210	$230K
A4604	Tubing with integrated heating element for use with positive airway pressure device	3,470	$50	$180.2K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	2,020	$90	$173.8K
A7031	Face mask interface, replacement for full face mask, each	2,150	$50	$111.6K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	790	$130	$100.2K
A7035	Headgear used with positive airway pressure device	3,180	$30	$85.8K
A7032	Cushion for use on nasal mask interface, replacement only, each	870	$60	$50.4K
A7038	Filter, disposable, used with positive airway pressure device	5,310	$10	$31.9K

Showing 1–10 of 15

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

Regional Home Care Inc — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	22	30	3,430	$40	$326.4K
A7030	Full face mask used with positive airway pressure device, each	7	30	1,160	$70	$116.5K
E0601	Continuous positive airway pressure (CPAP) device	4	40	1,730	$40	$106.8K
A7031	Face mask interface, replacement for full face mask, each	13	30	1,270	$30	$77.9K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	9	30	960	$40	$59.9K
A4604	Tubing with integrated heating element for use with positive airway pressure device	6	30	1,850	$30	$59.8K
E0562	Humidifier, heated, used with positive airway pressure device	15	20	1,610	$40	$54.9K
A7032	Cushion for use on nasal mask interface, replacement only, each	12	30	690	$40	$47.4K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	9	10	130	$90	$35.1K
A7033	Pillow for use on nasal cannula type interface, replacement only, pair	11	20	340	$30	$30.4K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kennebec Valley Mental Health Center	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$143M
Jmpb Inc.	ME	Community/Behavioral Health Agency	$0	$40.2M
Discovery House Of Central Maine, Inc.	ME	Methadone Clinic	$398.8K	$24.5M
Care & Comfort	ME	Mental Health Counselor	$0	$24.8M
Eastern Maine Healthcare Systems Inland Hospital	ME	General Acute Care Hospital	$0	$18.3M
Blue Sky Counseling P.C.	ME	Community/Behavioral Health Agency	$0	$11.6M
Maine General Community Care	ME	Case Management Agency	$0	$11.4M
Delta Ambulance Corp.	ME	Land Ambulance	$985.5K	$9.8M
Paramount Behavioral Services, Inc	ME	Community/Behavioral Health Agency	$0	$9.3M
Waters Edge Therapy, Inc	ME	Community/Behavioral Health Agency	$0	$5.2M

Regional Home Care Inc — Billing Profile & Reimbursement Data

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Regional Home Care 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