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, Hope And Healing, Inc. (NPI 1538282637)

Field	Value
Entity Type	Organization
Organization	Home, Hope And Healing, Inc.
Address	189 Village Rd
City	Smithfield
State	ME
ZIP	04978
Taxonomy	Home Health Agency
NPI Enumerated	April 6, 2007

Payer Source	Total Paid
Medicaid	$51.5M
Medicare	$0

Key Findings

HOME, HOPE AND HEALING, INC. is effectively a single-payer provider in the available data: it has no Medicare billing on file and all recorded federal claims activity is via Medicaid, with total Medicaid revenue of $51.5M. This profile indicates the organization’s operations and reimbursement exposure are concentrated in state Medicaid programs rather than in Medicare fee-for-service.

Revenue is highly concentrated in a very small set of service codes: the top three Medicaid codes by revenue account for 97.6% of the provider’s total Medicaid revenue. This concentration suggests the business model is focused on a narrow set of home- and community-based nursing and personal care services rather than a broad continuum of home health billing lines.

The largest single revenue driver is G0299 (direct RN skilled nursing, 15-minute units), which generated $42.5M and represents 82.5% of the provider’s total Medicaid revenue. HOME, HOPE AND HEALING ranks #1 of 50 providers in the state for G0299 (100th percentile) and is described as notably above typical state volume, indicating dominance in delivering registered nurse home-skilling services relative to peers.

G0300 (direct LPN skilled nursing, 15-minute units) is the second major driver with $6M in revenue (11.6% of Medicaid revenue) and also ranks #1 in-state among the smaller comparison pool (1 of 17 providers, 100th percentile). The dataset labels this as an extreme outlier and far above typical state volume, underscoring that the provider’s LPN-delivered skilled nursing services are unusually large compared with other Medicaid home health agencies in Maine.

Lower-revenue codes such as T1019 (personal care services) and H2021 (community-based wrap-around services) together contribute a relatively small share (3.5% and 2.1% respectively) of Medicaid revenue, and their rank percentiles (68th and 49th) indicate typical or unremarkable volumes. This mix implies the organization emphasizes clinically skilled nursing care over non-skilled personal care or care management offerings.

Tenure data show the provider’s NPI was enumerated on 2007-04-06 (~19 years ago), indicating an established presence in the market. This longevity combined with the dominant in-state ranks on primary nursing codes suggests a sustained operational focus on Medicaid-funded home nursing services.

From a competitive-standing standpoint, HOME, HOPE AND HEALING should be considered a dominant statewide provider for high-acuity home nursing services: it is the in-state leader (100th percentile) on both G0299 and G0300, which together account for the overwhelming majority of its Medicaid revenue. For payers and analysts, this profile marks the entity as a concentrated supplier of skilled nursing in the home.

Given the absence of Medicare billing and the extreme concentration on two skilled-nursing codes, the provider is exposed to Medicaid policy, payment-rate, and utilization shifts affecting home-based skilled nursing. Any changes in eligibility, unit definitions, or oversight specific to G0299 and G0300 would likely have an outsized impact on the organization’s revenue and strategic positioning.

Medicaid: Complete Services Breakdown

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

5 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	81,250	$520	$42.5M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	17,950	$330	$6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	12,560	$140	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	8,310	$130	$1.1M
T1017	Targeted case management, each 15 minutes	2,470	$70	$177.6K

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, Hope And Healing, Inc. — 2 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	54	100	8,660	$290	$5.1M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	36	110	8,200	$220	$4.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1	50	8,360	$150	$2.9M
T1017	Targeted case management, each 15 minutes	64	100	4,690	$90	$1M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1	20	1,150	$130	$396K

Home, Hope And Healing, Inc. — Billing Profile & Reimbursement Data

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Home, Hope And Healing, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References