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.

Crooked River Counseling PA (NPI 1558338707)

Field	Value
Entity Type	Organization
Organization	Crooked River Counseling PA
Address	28 Winter St
City	Norway
State	ME
ZIP	04268
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	March 7, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	6,460	$70	$432.6K
H2010	Comprehensive medication services, per 15 minutes	1,800	$150	$264.3K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	510	$220	$112.8K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	510	$210	$108.3K
T2022	Case management, per month	270	$330	$88K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	260	$210	$54.1K

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

Crooked River Counseling PA — 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2010	Comprehensive medication services, per 15 minutes	30	50	3,690	$130	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	65	290	860	$80	$805.1K
T2022	Case management, per month	28	40	800	$190	$780.3K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	21	30	1,440	$160	$515.5K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	19	30	750	$240	$312.9K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	18	30	740	$240	$301.1K

Nearby Providers

Other providers in the same ZIP code as Crooked River Counseling PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Communities, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$46.5M
The Progress Center, Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$30.6M
Bridge To Success	ME	Case Management Agency	$0	$10.6M
O.t. To Play	ME	Occupational Therapist	$0	$10.5M
Mainehealth	ME	Rural Health Clinic/Center	$0	$10M
Mainehealth	ME	Rural Health Clinic/Center	$0	$9.8M
Mainehealth	ME	Critical Access Hospital	$0	$5M
Common Ground Counseling, LLC	ME	Counselor	$0	$3M
A Life's Compass PLLC	ME	Mental Health Counselor	$0	$2.9M
Martin Whitaker	ME	Ophthalmology Physician	$1.5M	$0

Crooked River Counseling PA — Billing Profile & Reimbursement Data

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Crooked River Counseling PA — 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