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.

Pathways Of Maine, Inc. (NPI 1417095720)

Field	Value
Entity Type	Organization
Organization	Pathways Of Maine, Inc.
Address	276 Whitten Rd
City	Hallowell
State	ME
ZIP	04347
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 1, 2007

Payer Source	Total Paid
Medicaid	$2.1M
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	9,130	$210	$1.9M
T1017	Targeted case management, each 15 minutes	3,240	$70	$229.8K

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

Pathways Of Maine, Inc. — 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	50	100	8,660	$290	$5.1M
T1017	Targeted case management, each 15 minutes	58	100	4,690	$90	$1M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pathways Of Maine, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathways Of Maine, LLC	ME	Community/Behavioral Health Agency	$0	$22.3M
Pathways Of Maine, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.7M
Pathways Of Maine, Inc.	ME	Community/Behavioral Health Agency	$0	$3.5M
Pathways Of Maine, Inc.	ME	Community/Behavioral Health Agency	$0	$3.1M
Pathways Of Maine, Inc.	ME	Community/Behavioral Health Agency	$0	$2.7M
Pathways Of Maine, Inc.	ME	Community/Behavioral Health Agency	$0	$2M

Nearby Providers

Other providers in the same ZIP code as Pathways Of Maine, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Families Matter, Inc	ME	Intellectual & Developmental Disabilities Psychologist	$0	$14.9M

Pathways Of Maine, Inc. — Billing Profile & Reimbursement Data

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Pathways Of Maine, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References