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.

St Croix Regional Family Health Center (NPI 1467573469)

Field	Value
Entity Type	Organization
Organization	St Croix Regional Family Health Center
Address	5 Lowell St Ste 4
City	Calais
State	ME
ZIP	04619
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 3, 2007

Payer Source	Total Paid
Medicaid	$921.1K
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
T1015	Clinic visit/encounter, all-inclusive	3,770	$230	$856.5K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,140	$50	$58.1K
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…	2,300	$1	$4.6K
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…	1,180	$1	$1.2K
G0008	Administration of influenza virus vaccine	30	$20	$420
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	60	$10	$310
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	50	$0	$0
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	10	$0	$0
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$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

St Croix Regional Family Health Center — 0 of 6 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
T1015	Clinic visit/encounter, all-inclusive	116	180	8,540	$180	$3M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	58	80	3,000	$50	$269.8K
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…	235	460	1,240	$30	$190K
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…	183	480	1,030	$20	$128.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	117	140	470	$30	$59K
G0008	Administration of influenza virus vaccine	216	260	110	$20	$17.8K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	82	80	1,120	$1	$16.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	208	230	210	$10	$11.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	137	160	770	$1	$7.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Croix Regional Family Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Regional Family Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$6.4M
Judy Splittgerber	ME	Psychiatric/Mental Health Nurse Practitioner	$0	$420.4K
Gary Degen	ME	Foot & Ankle Surgery Podiatrist	$27.9K	$0
Joseph Benoit	ME	Obstetrics & Gynecology Physician	$14.6K	$0

Nearby Providers

Other providers in the same ZIP code as St Croix Regional Family Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Calais	ME	Local Education Agency (LEA)	$0	$7M
Discovery House Wc, Inc.	ME	Methadone Clinic	$109.5K	$5.7M
Sunrise Opportunities	ME	Developmentally Disabled Services Day Training Agency	$0	$3.6M
Calais Community Hospital	ME	Rural Health Clinic/Center	$0	$3.1M
Calais Community Hospital	ME	Critical Access Hospital	$0	$1.8M
City Of Calais	ME	Land Ambulance	$235.6K	$1M
Sunrise Eye Care PA	ME	Optometrist	$0	$409K
Wal-mart Stores East LP	ME	Community/Retail Pharmacy	$108.6K	$700
Carina Orcutt	ME	Optometrist	$44K	$0
Jennifer Kehrer	ME	Optometrist	$42.7K	$0

St Croix Regional Family Health Center — Billing Profile & Reimbursement Data

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St Croix Regional Family Health Center — 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