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.

Rumford Community Family Health Center, Inc. (NPI 1578599775)

Field	Value
Entity Type	Organization
Organization	Rumford Community Family Health Center, Inc.
Address	430 Franklin St
City	Rumford
State	ME
ZIP	04276
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	June 23, 2006

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	36,110	$170	$6.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	17,010	$10	$204.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	21,470	$10	$171.8K
98928	The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.	620	$20	$9.3K
J1050	Injection, medroxyprogesterone acetate, 1 mg	150	$60	$9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,710	$1	$6.9K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	840	$10	$5.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	210	$20	$4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	350	$10	$2.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	280	$10	$2.2K

Showing 1–10 of 45

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

Rumford Community Family Health Center, Inc. — 1 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	23	180	8,540	$180	$3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	41	460	1,240	$30	$190K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	41	480	1,030	$20	$128.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	33	70	1,060	$40	$97K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	34	70	1,000	$40	$91K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	39	50	110	$60	$72.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	132	170	380	$50	$63.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	35	80	540	$40	$61.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	30	190	390	$20	$42.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	43	50	450	$20	$41.8K

Showing 1–10 of 45

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rumford Community Family Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rumford Community Family Health Center, Inc.	ME	Rural Health Clinic/Center	$0	$2.6M
Cason Quinn	ME	Foot & Ankle Surgery Podiatrist	$129.4K	$0
Thomas Hattan	ME	Geriatric Medicine (Internal Medicine) Physician	$87.8K	$0
Nicole Boutaugh	ME	Hospitalist Physician	$73.6K	$0
Seth Stein	ME	Hospitalist Physician	$55.6K	$0
Joseph Dell'orfano	CT	Clinical Cardiac Electrophysiology Physician	$47.8K	$0
Amber Anderson	NC	Family Medicine Physician	$40.8K	$0
Lauren Adey	ME	Orthopaedic Hand Surgery Physician	$32.7K	$0
Deana Albert	ME	Adult Health Nurse Practitioner	$29.3K	$0
Lisa Bosinger	ME	Internal Medicine Physician	$29.2K	$0

Nearby Providers

Other providers in the same ZIP code as Rumford Community Family Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Association	ME	Developmentally Disabled Services Day Training Agency	$0	$10.2M
Community Concepts Incorporated	ME	Community/Behavioral Health Agency	$0	$6.6M
Rumford Hospital	ME	Critical Access Hospital	$0	$2.4M
Rumford Group Homes Inc	ME	Case Management Agency	$0	$2.3M
Lincare Inc.	ME	Durable Medical Equipment & Medical Supplies	$0	$2M
River Valley Counseling LLC	ME	Community/Behavioral Health Agency	$0	$779.2K
Discovery House Wc, Inc	ME	Methadone Clinic	$0	$576.5K
Mountain View Eyecare, P.A.	ME	Optometrist	$0	$442.3K

Rumford Community Family Health Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Rumford Community Family Health Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Rumford Community Family Health Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Rumford Community Family Health Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References