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    OpenPayerNPI Medicare & MedicaidMargaret Houlehan
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    Margaret Houlehan — Billing Profile & Reimbursement Data

    NPI 1700849205 · Skowhegan, ME · Medical Physician Assistant

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    Margaret Houlehan is a medical physician assistant provider located in Skowhegan, Maine. This profile covers 3 Medicare and 0 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 TypeIndividual
    OrganizationMargaret Houlehan
    Address46 Fairview Ave Ste 111
    CitySkowhegan
    StateME
    ZIP04976
    TaxonomyMedical Physician Assistant
    NPI EnumeratedApril 7, 2006

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

    Payer SourceTotal Paid
    Medicare$9.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit80$70$5.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit60$50$2.9K
    99213The 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$50$1.5K

    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

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G043927665050$70$4.3K
    992131,5582,35050$50$4.3K
    G043813010$100$1.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Svmhs ClinicsCAMulti-Specialty Clinic/Center$0$34.2M
    Healthreach Community Health CentersMEFederally Qualified Health Center (FQHC)$0$4.3M
    Healthreach Community Health CentersMEFederally Qualified Health Center (FQHC)$0$4.2M
    Healthreach Community Health CentersMEFederally Qualified Health Center (FQHC)$0$4.2M
    Healthreach Community Health CentersMEFederally Qualified Health Center (FQHC)$0$3.9M
    Healthreach Community Health CentersMEFederally Qualified Health Center (FQHC)$0$3.8M
    Sebasticook Valley HealthMECritical Access Hospital$0$3.6M
    Healthreach Community Health CentersMEFederally Qualified Health Center (FQHC)$0$3.2M
    Healthreach Community Health CentersMEFederally Qualified Health Center (FQHC)$0$3M
    Sebasticook Valley HealthMERural Health Clinic/Center$0$2.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maine Behavioral Health OrganizationMECommunity/Behavioral Health Agency$0$11.1M
    Redington-fairview General HospitalMECritical Access Hospital$0$5.9M
    Rachelle NunnMEIn Home Supportive Care Agency$0$5.4M
    E.c.c.o.MECommunity/Behavioral Health Agency$0$2.7M
    Dialysis Clinic Inc.MEEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.5M
    School Administrative District No 54MELocal Education Agency (LEA)$0$504.6K
    Skowhegan Imaging Associates, P.A.MEDiagnostic Radiology Physician$0$349.9K
    Aalia Fathima Mohamed GhouseMEInternal Medicine Physician$94.8K$0
    Daniel StadlerMEInternal Medicine Physician$90.2K$0
    Insight-premier Health LLCMEDiagnostic Radiology Physician$27.1K$57.8K

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maine Distribution
    Margaret Houlehan — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine