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.

Mainegeneral Health (NPI 1437243060)

Field	Value
Entity Type	Organization
Organization	Mainegeneral Health
Address	10 Water St Ste 307
City	Waterville
State	ME
ZIP	04901
Taxonomy	Home Health Agency
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	18,390	$80	$1.5M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	8,410	$110	$899.7K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	3,270	$90	$294.7K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	260	$20	$4.9K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	60	$50	$2.7K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	1,530	$0	$0
G0495	Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	50	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	1,020	$0	$0
G0158	Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes	100	$0	$0

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

Mainegeneral Health — 0 of 5 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	19	50	8,360	$150	$2.9M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	4	20	1,540	$90	$757.4K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	4	10	1,450	$90	$563.2K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	20	20	2,780	$10	$40.9K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	18	20	17,870	$1	$11.7K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	3	10	520	$1	$260
G0495	Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	3	10	310	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	13	30	960	$0	$0
G0158	Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes	2	10	340	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mainegeneral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine General Community Care	ME	Case Management Agency	$0	$11.4M

Nearby Providers

Other providers in the same ZIP code as Mainegeneral Health, 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
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
R&k LLC	ME	Community/Behavioral Health Agency	$0	$4.6M

Mainegeneral Health — Billing Profile & Reimbursement Data

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Mainegeneral Health — 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