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.

Home Counselors Inc (NPI 1497057087)

Field	Value
Entity Type	Organization
Organization	Home Counselors Inc
Address	375 Main St
City	Rockland
State	ME
ZIP	04841
Taxonomy	Case Management Agency
NPI Enumerated	December 2, 2010

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	33,500	$70	$2.3M

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

Home Counselors Inc — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	15	100	4,690	$90	$1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metro Treatment Of Maine LP	ME	Methadone Clinic	$134.4K	$5.2M
Maine Behavioral Healthcare	ME	Community/Behavioral Health Agency	$0	$4.1M
City Of Rockland	ME	Land Ambulance	$167.8K	$681.2K
Kevin Kelly	ME	Chiropractor	$22.5K	$124.2K
Serena Morrison	ME	Ophthalmology Physician	$88.7K	$0
Samuel Powell	ME	Orthopedic Physical Therapist	$50.5K	$0
Mark Lewis	ME	Physical Therapist	$39.8K	$0
Lynne Kaplinsky	ME	Ophthalmology Physician	$30.3K	$0
Kathryn Clement	ME	Clinical Social Worker	$19.4K	$0
Blaine Curtis	ME	Chiropractor	$17.8K	$0

Home Counselors Inc — Billing Profile & Reimbursement Data

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Home Counselors Inc — Billing Profile & Reimbursement Data

Sign up for Home Counselors Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References