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.

School Administrative District No 54 (NPI 1346453024)

Field	Value
Entity Type	Organization
Organization	School Administrative District No 54
Address	196 W Front St
City	Skowhegan
State	ME
ZIP	04976
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	May 8, 2007

Payer Source	Total Paid
Medicaid	$504.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	6,630	$30	$205.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	6,740	$30	$168.6K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	10,000	$10	$110K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	2,300	$10	$20.7K

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

School Administrative District No 54 — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	29	140	1,690	$40	$168K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	34	200	1,410	$30	$150.6K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	8	80	2,200	$10	$44.4K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	17	70	650	$10	$15.6K

Nearby Providers

Other providers in the same ZIP code as School Administrative District No 54, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine Behavioral Health Organization	ME	Community/Behavioral Health Agency	$0	$11.1M
Redington-fairview General Hospital	ME	Critical Access Hospital	$0	$5.9M
Rachelle Nunn	ME	In Home Supportive Care Agency	$0	$5.4M
E.c.c.o.	ME	Community/Behavioral Health Agency	$0	$2.7M
Dialysis Clinic Inc.	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.5M
Skowhegan Imaging Associates, P.A.	ME	Diagnostic Radiology Physician	$0	$349.9K
Aalia Fathima Mohamed Ghouse	ME	Internal Medicine Physician	$94.8K	$0
Daniel Stadler	ME	Internal Medicine Physician	$90.2K	$0
Insight-premier Health LLC	ME	Diagnostic Radiology Physician	$27.1K	$57.8K
Michael Monzel	ME	Gastroenterology Physician	$55.4K	$0

School Administrative District No 54 — Billing Profile & Reimbursement Data

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School Administrative District No 54 — 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