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.

Special Children's Friends, Inc. (NPI 1497991715)

Field	Value
Entity Type	Organization
Organization	Special Children's Friends, Inc.
Address	78 Union St
City	Ellsworth
State	ME
ZIP	04605
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	December 17, 2008

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	20,780	$280	$5.8M
T1017	Targeted case management, each 15 minutes	19,950	$120	$2.3M
G9007	Coordinated care fee, scheduled team conference	230	$50	$11.7K

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

Special Children's Friends, Inc. — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	28	100	8,660	$290	$5.1M
T1017	Targeted case management, each 15 minutes	23	100	4,690	$90	$1M
G9007	Coordinated care fee, scheduled team conference	20	30	950	$60	$258.2K

Nearby Providers

Other providers in the same ZIP code as Special Children's Friends, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine Coast Regional Health Facilities	ME	General Acute Care Hospital	$0	$24.8M
Kidspeace National Centers Of New England Inc	ME	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$16.8M
Kidspeace National Centers Of New England, Inc.	ME	Community/Behavioral Health Agency	$0	$15M
Kidspeace National Centers Of New England Inc	ME	Psychiatric Residential Treatment Facility	$0	$8.6M
Emergency Medicine Services Of Maine, LLC	ME	Emergency Medicine Physician	$0	$5.4M
Coastal Med-tech Corp.	ME	Customized Equipment (DME)	$0	$2.4M
Total Renal Care Inc	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Caring Hands Of Maine	ME	Dentist	$0	$1.3M
Cesc, LLC	ME	Ambulatory Surgical Clinic/Center	$617.6K	$534.5K
Bucksport Regional Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$562.4K

Special Children's Friends, Inc. — Billing Profile & Reimbursement Data

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Special Children's Friends, 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

Nearby Providers

Frequently Asked Questions

References