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    OpenPayerNPI Medicare & MedicaidCor Health Services LLC
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    Cor Health Services LLC — Billing Profile & Reimbursement Data

    NPI 1700277670 · Portland, ME · Home Health Agency

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    Cor Health Services LLC is a home health agency provider located in Portland, Maine. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCor Health Services LLC
    Address999 Forest Ave
    CityPortland
    StateME
    ZIP04103
    TaxonomyHome Health Agency
    NPI EnumeratedFebruary 12, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$55.9M
    Medicare$0

    Key Findings

    COR HEALTH SERVICES LLC is effectively a single-payer Medicaid operation: it has no Medicare billing on file and reported $55.9M in total Medicaid revenue. The absence of Medicare activity indicates the provider’s operations and revenue are concentrated entirely within Medicaid-funded programs rather than dual Medicare/Medicaid lines.

    Revenue concentration is extremely high: the top three Medicaid codes account for 95.7% of the provider’s Medicaid revenue, signaling reliance on a narrow set of service lines for virtually all of its Medicaid receipts. This concentration increases exposure to rate changes, audit focus, or policy shifts affecting those specific codes.

    G0299 is the dominant revenue driver for this provider: 72.3K claims, $468 avg paid/claim, $33.8M revenue (60.5% of total Medicaid revenue) and it ranks #2 of 50 providers in-state (98th percentile), a level described as notably above typical state volume for this code. The high volume and per-claim payment for G0299 (direct skilled nursing services of an RN in the home health/hospice setting) indicate a core operational emphasis on skilled nursing delivered in the home.

    T1019 is the second major contributor with 104.5K claims, $131 avg paid/claim, $13.7M revenue (24.5% of total Medicaid revenue) and ranks #6 of 110 providers in-state (95th percentile), also described as notably above typical state volume for this code. This large volume of time-based personal care services suggests the organization runs a substantial personal care aide program and provides high-frequency, short-interval visits billed per 15 minutes.

    H2021 contributes $6M (10.8% of total Medicaid revenue) from 35.4K claims at $170 avg paid/claim and ranks #18 of 104 providers in-state (83th percentile) with typical, unremarkable volume for this code. The presence of H2021 (community-based wrap-around services) alongside G0299 and T1019 points to a mixed service model that pairs skilled nursing and personal care with community wrap-around supports, likely addressing complex or behavioral health–adjacent needs.

    Several secondary codes indicate limited diversification beyond the top three: T1017 (36.7K claims, $64 avg paid/claim, $2.3M revenue; 4.2% of total; ranks #11 of 104, 90th percentile) is notably above typical state volume, while T1005 and T1013 together account for immaterial shares (0.1% and 0.0% respectively) with middling-to-low in-state ranks. This pattern reinforces that most clinical and revenue activity is concentrated in the primary skilled nursing and personal care services rather than in respite or interpretive services.

    From a competitive-stance perspective within Maine, COR HEALTH SERVICES appears to be a major in-state provider for its two leading codes: G0299 (98th percentile) and T1019 (95th percentile), indicating the organization is a prominent provider of both skilled home nursing and personal care in the state. For H2021 and other smaller codes the provider is a more typical participant (83th percentile and lower-ranked codes), suggesting dominance is concentrated in a narrow set of services rather than across a broad portfolio.

    The provider’s NPI was enumerated on 2015-02-12 (~11 years ago), indicating roughly a decade of recorded Medicaid activity under this taxonomic classification (Home Health Agency). That tenure combined with the high volumes reported for time-based home and community codes suggests established operational workflows and referral pathways focused on in-home skilled nursing and personal care delivery.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes72,320$470$33.8M
    T1019Personal 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…104,520$130$13.7M
    H2021Community-based wrap-around services, per 15 minutes35,410$170$6M
    T1017Targeted case management, each 15 minutes36,690$60$2.3M
    T1005Respite care services, up to 15 minutes810$50$39.8K
    T1013Sign language or oral interpretive services, per 15 minutes100$30$2.7K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maine median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2021Community-based wrap-around services, per 15 minutes181008,660$290$5.1M
    T1019Personal 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…61108,200$220$4.7M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes2508,360$150$2.9M
    T1017Targeted case management, each 15 minutes111004,690$90$1M
    T1013Sign language or oral interpretive services, per 15 minutes4650740$90$453.3K
    T1005Respite care services, up to 15 minutes920590$90$407.9K

    Nearby Providers

    Other providers in the same ZIP code as Cor Health Services LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Granite Bay Care, IncMEIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$281.6M
    Spurwink ServicesMEEmotionally Disturbed Childrens' Residential Treatment Facility$0$112.7M
    Spurwink Services IncorporatedMEMental Health Clinic/Center (Including Community Mental Health Center)$0$52.9M
    Casa, Inc.MEAdult Care Home Facility$0$50.1M
    Gateway Community Services, LLCMECommunity/Behavioral Health Agency$0$30.2M
    Peregrine CorporationMECase Management Agency$0$30M
    Ubuntu CareMEIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$27.3M
    New England Integrated Living SupportMEIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$22.3M
    AffinityMEDevelopmentally Disabled Services Day Training Agency$0$9.7M
    Ocean Home Care LLCMEPersonal Care Attendant$0$9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Maine Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    Cor Health Services LLC — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine