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.

Pauline Johnston (NPI 1598705360)

Field	Value
Entity Type	Individual
Organization	Pauline Johnston
Address	234 State St
City	Brewer
State	ME
ZIP	04412
Taxonomy	Family Medicine Physician
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicare	$9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	180	$40	$6.8K
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…	30	$40	$1.1K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	20	$50	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Pauline Johnston — 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. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	444	2,500	70	$70	$7.2K
99213	1,649	2,350	50	$50	$4.3K
99495	6	40	20	$70	$1.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pauline Johnston, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenneth Smith	DE	Internal Medicine Physician	$274.2K	$20.3K
Gabriel Thornton	GA	Critical Care Medicine (Internal Medicine) Physician	$241.4K	$0
Jessica Watson	ME	Ophthalmology Physician	$202.3K	$0
Ahmad Al-taee	OK	Gastroenterology Physician	$109.9K	$24.1K
Jessica Aronowitz	ME	Orthopaedic Surgery Physician	$105K	$0
Ajit Chary	IL	Pulmonary Disease Physician	$101.4K	$0
Kenneth Payne	SC	Gastroenterology Physician	$97.3K	$0
Rhashelia Crawford Floris	ME	Internal Medicine Physician	$83.9K	$0
Virinder Sidhu	ME	Internal Medicine Physician	$83.7K	$0
Robert Jan Hiensch	UT	Critical Care Medicine (Internal Medicine) Physician	$69.2K	$11.6K

Nearby Providers

Other providers in the same ZIP code as Pauline Johnston, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rww Outpatient Rehab Services, Inc.	ME	In Home Supportive Care Agency	$0	$36.5M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$24.6M
A&m Home Care Corp	ME	Personal Care Attendant	$0	$17.3M
Mainely Kids & Teens, LLC	ME	Pediatric Dentistry	$0	$9M
Manzo Corporation	ME	In Home Supportive Care Agency	$0	$8.5M
Higher Ground Services LLC	ME	Community/Behavioral Health Agency	$0	$5.7M
Total Renal Care Inc	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
Albert Adams	ME	Pediatrics Physician	$0	$1.1M
Autumn Of Life In Home Care	ME	In Home Supportive Care Agency	$0	$659.4K
A Time To Rise - Counseling & Wellness LLC	ME	Substance Use Disorder Rehabilitation Clinic/Center	$0	$556.6K

Pauline Johnston — Billing Profile & Reimbursement Data

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Pauline Johnston — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References