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.

Second Solutions, Inc. (NPI 1386086270)

Field	Value
Entity Type	Organization
Organization	Second Solutions, Inc.
Address	455 Main St
City	Springvale
State	ME
ZIP	04083
Taxonomy	Home Health Agency
NPI Enumerated	July 22, 2013

Payer Source	Total Paid
Medicaid	$24.9M
Medicare	$0

Key Findings

SECOND SOLUTIONS, INC. is effectively a single-payer Medicaid operator: it reports $24.9M in total Medicaid revenue and has no Medicare billing on file. The absence of Medicare billing makes Medicaid the sole measurable payer in this profile and indicates the provider’s operations are focused on state-funded home- and community-based services rather than traditional Medicare home health channels.

Revenue is extremely concentrated in a single service line: the top 3 Medicaid codes account for 99.7% of the provider’s total Medicaid revenue, with T1019 alone representing $24.4M (97.7% of total Medicaid revenue). This concentration implies that the business model is overwhelmingly dependent on one code and a narrow set of service types for nearly all reported revenue.

T1019’s code description (Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment) and its volume (204.8K claims at $119 avg paid/claim) indicate the provider operates primarily as a high-volume personal care/home support agency rather than a clinically focused skilled home health agency. The scale of T1019 billing suggests operational capacity centered on non-skilled personal care visits and care aides rather than medically intensive home health services.

SECOND SOLUTIONS is a dominant in-state provider for T1019: it ranks #1 of 110 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). That ranking signals market-leading share for personal care services in Maine and positions the organization as an outlier relative to state peers for this specific service.

G0299 (Direct skilled nursing services of an RN in the home health or hospice setting) contributes a small share of revenue ($389.2K; 1.6% of total Medicaid revenue), with 9.1K claims at $43 avg paid/claim, and the provider ranks #24 of 50 providers in-state (53th percentile; typical, unremarkable volume for this code). This mix indicates occasional delivery of skilled nursing services but not as a primary revenue driver or competitive differentiator.

S5130 (Homemaker service, nos; per 15 minutes) and T1005 (Respite care services, up to 15 minutes) together account for only a small fraction of revenue ($109.1K and $76.8K respectively). S5130 is listed as #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), which suggests either unique reporting of that code in-state or a lack of comparable peer data, while T1005’s rank (#8 of 18, 59th percentile) reflects modest, typical participation in respite services.

The extreme revenue dependence on T1019 creates operational and reimbursement sensitivity: changes in state Medicaid policy, rate-setting for T1019, or eligibility criteria for personal care services could materially affect the provider’s topline given that T1019 accounts for 97.7% of Medicaid revenue and the top three codes combined account for 99.7%. From a payer perspective, contracting or audit focus on personal care billing would capture the bulk of the provider’s revenue activity.

The provider’s tenure is established: its NPI was enumerated on 2013-07-22 (~13 years ago), indicating a long-standing presence in the state Medicaid market. That longevity, coupled with dominant T1019 volumes, suggests an established operational footprint in delivering Medicaid-funded personal care services in SPRINGVALE, ME.

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
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	204,800	$120	$24.4M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	9,050	$40	$389.2K
S5130	Homemaker service, nos; per 15 minutes	2,180	$50	$109.1K
T1005	Respite care services, up to 15 minutes	1,350	$60	$76.8K

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

Second Solutions, Inc. — 1 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
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1	110	8,200	$220	$4.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	24	50	8,360	$150	$2.9M
T1005	Respite care services, up to 15 minutes	8	20	590	$90	$407.9K
S5130	Homemaker service, nos; per 15 minutes	1	10	2,180	$50	$109.9K

Nearby Providers

Other providers in the same ZIP code as Second Solutions, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
York County Community Action Corp	ME	Federally Qualified Health Center (FQHC)	$0	$20.6M
York County Community Action Corp	ME	Federally Qualified Health Center (FQHC)	$0	$2.3M
Compass Behavioral Health	ME	Community/Behavioral Health Agency	$0	$1.7M
Everything In Between, LLC	ME	Occupational Therapist	$0	$636.7K
Suzanne Plano	ME	Chiropractor	$5.9K	$43.4K
Jill Brown	ME	Clinical Social Worker	$10K	$0
Kathleen Morris	ME	Obstetrics & Gynecology Physician	$3.8K	$0

Second Solutions, Inc. — Billing Profile & Reimbursement Data

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Second Solutions, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References