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.

The Aroostook Medical Center (NPI 1396858999)

Field	Value
Entity Type	Organization
Organization	The Aroostook Medical Center
Address	140 Academy St
City	Presque Isle
State	ME
ZIP	04769
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicaid	$38.5M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-focused facility: there is no Medicare billing on file and total Medicaid revenue on file is $38.5M, so Medicaid is the de facto single major payer in the available dataset. Analysts should treat this profile as representing Medicaid-driven operations rather than a mixed Medicare/Medicaid hospital footprint.

Revenue is highly concentrated in a small set of outpatient and ED services: the precomputed top three Medicaid codes (G0463, 99285, 99214) account for 56.0% of the provider’s total Medicaid revenue. The largest single line is G0463 at $12.2M (38.7% of Medicaid revenue), followed by 99285 at $3M (9.4%) and 99214 at $2.5M (7.9%), indicating a small number of codes drive the majority of cashflow.

The code mix points to an operational emphasis on hospital outpatient clinic activity and emergency care: G0463 (hospital outpatient clinic visit) is the top revenue driver at $12.2M, and high-acuity ED E/M 99285 ($3M) plus multiple ED levels (99284, 99283, 99282) appear throughout the top codes. In parallel, large volumes of established outpatient visits (99214, 99213) and procedure-based outpatient services (infusions 96365/96374, injections J0178) suggest the hospital runs both ambulatory clinic and ED workflows at scale.

Competitive standing within Maine varies by service line: for outpatient E/M, 99214 is an extreme outlier (65.3K claims, $2.5M revenue) and ranks #8 of 461 providers in-state (98th percentile), indicating the provider far exceeds typical state volume for that office-level code. By contrast, G0463 (210.5K claims, $12.2M) ranks #7 of 55 in-state (89th percentile; typical, unremarkable volume for this code) and 99285 ranks #15 of 56 (75th percentile; typical), so the hospital is a strong but not universally dominant competitor across all high-volume lines.

The facility also shows above-typical state-level volumes for testing and vaccine activity: U0004 (COVID testing) has 12.8K claims and $704K revenue and ranks #2 of 20 providers in-state (95th percentile; notably above typical state volume for this code), while 87636 (multiplex respiratory testing) has 6.5K claims and $398.5K revenue and ranks #2 of 29 (96th percentile; notably above typical state volume). These patterns indicate elevated throughput in diagnostic testing compared with most in-state peers.

Ancillary and transport services contribute material secondary revenue: ambulance ground mileage A0425 generates $1.3M (4.2% of Medicaid revenue) and ranks #35 of 138 in-state (75th percentile; typical), while imaging and procedure codes such as 74177 ($628.4K), 70450 ($257K), and 93306 ($439.1K) appear in the top-25 list, underscoring meaningful CT, echo, and procedure volumes that support both ED and outpatient caseloads.

The concentration in a few high-volume E/M codes creates sensitivity to Medicaid reimbursement and utilization shifts: with 56.0% of Medicaid revenue concentrated in the top three codes, changes to payment policy or coding mix for G0463, 99285, or 99214 would disproportionately affect overall Medicaid revenue. Analysts should flag these codes for monitoring in rate negotiations or utilization-management scenarios.

The provider is an established regional entity: the NPI was enumerated on 2006-08-16 (~20 years ago), indicating a long-tenured presence in the market that may explain the high volumes for routine outpatient visits and testing relative to many in-state peers.

Medicaid: Complete Services Breakdown

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

484 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	210,470	$60	$12.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	10,910	$270	$3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	65,270	$40	$2.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	13,300	$140	$1.9M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	65,970	$30	$1.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	11,590	$120	$1.4M
A0425	Ground mileage, per statute mile	4,470	$300	$1.3M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	12,800	$60	$704K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,840	$90	$697.3K
J0178	Injection, aflibercept, 1 mg	1,690	$380	$634.5K

Showing 1–10 of 484

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

The Aroostook Medical Center — 4 of 25 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

484 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	60	18,740	$60	$4.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	26	60	9,550	$100	$1.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	15	60	4,690	$180	$1.5M
J0178	Injection, aflibercept, 1 mg	7	10	1,710	$620	$1.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	27	50	11,590	$60	$942.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10	30	6,230	$70	$515.4K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	9	10	640	$400	$451.6K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	49	100	670	$200	$363.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	9	60	2,380	$90	$345.7K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	6	30	880	$110	$338.4K

Showing 1–10 of 484

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Aroostook Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cheryl Lee	WA	Ophthalmology Physician	$1.5M	$0
Nathan Uebelhoer	CA	MOHS-Micrographic Surgery Physician	$1.3M	$0
Naveed Jan	NJ	Hematology & Oncology Physician	$696.5K	$0
The Aroostook Medical Center	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$510.8K
Alan Mautz	WI	Diagnostic Radiology Physician	$430.5K	$1.7K
Iqra Choudary	NY	Hematology & Oncology Physician	$406.5K	$1.9K
Arjun Sood	VA	Hematology & Oncology Physician	$262.9K	$0
Dung Nguyen	OH	Radiation Oncology Physician	$231.7K	$0
Brian Ewy	ME	Diagnostic Radiology Physician	$151.6K	$7.5K
Francinia Mccartney	KY	Ophthalmology Physician	$150.8K	$0

Nearby Providers

Other providers in the same ZIP code as The Aroostook Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aroostook Mental Health Services, Inc.	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$53.2M
Central Aroostook Association	ME	Local Education Agency (LEA)	$0	$36.5M
Personal Services Of Aroostook	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.7M
Life By Design, PA	ME	Clinical Social Worker	$0	$9.9M
Aroostook Agency On Aging	ME	In Home Supportive Care Agency	$0	$7.9M
Discovery House Wc, Inc.	ME	Methadone Clinic	$0	$4M
Pines Health Services	ME	Federally Qualified Health Center (FQHC)	$0	$3.7M
Northern Maine Oral & Facial Surgery PA	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.5M
Dunrovin Enterprises, Inc.	ME	In Home Supportive Care Agency	$0	$3.1M
Aroostook Dental Clinic, Inc.	ME	Dental Clinic/Center	$0	$2.7M

The Aroostook Medical Center — Billing Profile & Reimbursement Data

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The Aroostook Medical Center — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References