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.

Black Bear Medical, Inc. (NPI 1538165642)

Field	Value
Entity Type	Organization
Organization	Black Bear Medical, Inc.
Address	275 Marginal Way
City	Portland
State	ME
ZIP	04101
Taxonomy	Customized Equipment (DME)
NPI Enumerated	June 23, 2005

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	4,750	$230	$1.1M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	5,080	$210	$1.1M
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	2,800	$240	$677.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	2,800	$190	$518.4K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	4,970	$100	$501.5K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	1,710	$270	$463.4K
S9999	Sales tax	30,160	$10	$362K
T4531	Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each	1,760	$200	$346.7K
T4525	Adult sized disposable incontinence product, protective underwear/pull-on, small size, each	1,740	$190	$333.7K
T4541	Incontinence product, disposable underpad, large, each	5,770	$50	$299.9K

Showing 1–10 of 72

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

Black Bear Medical, Inc. — 9 of 25 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	17	30	3,430	$40	$326.4K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	2	10	1,090	$280	$316.2K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	4	20	710	$120	$277.2K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	3	10	540	$140	$263.3K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	5	10	780	$190	$244.6K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	4	20	350	$100	$172K
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	1	10	140	$240	$156.3K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	3	20	940	$70	$145.1K
A7030	Full face mask used with positive airway pressure device, each	18	30	1,160	$70	$116.5K
E0601	Continuous positive airway pressure (CPAP) device	18	40	1,730	$40	$106.8K

Showing 1–10 of 72

Nearby Providers

Other providers in the same ZIP code as Black Bear Medical, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	Community/Behavioral Health Agency	$0	$115M
Goodwill Industries Of Northern New England	ME	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$106M
Maine Vocational Associates, Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$34.3M
Catholic Charities Maine	ME	Clinical Social Worker	$0	$17.7M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.8M
Milestone Recovery	ME	Substance Abuse Rehabilitation Facility	$0	$8.8M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$7.4M
Usa Family Well Being Services LLC	ME	Community/Behavioral Health Agency	$0	$6.3M
City Of Portland	ME	Land Ambulance	$740.2K	$5.4M
Maine Behavioral Healthcare	ME	Community/Behavioral Health Agency	$0	$4.9M

Black Bear Medical, Inc. — Billing Profile & Reimbursement Data

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Black Bear Medical, 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