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.

Maine-ly Elder Care, Inc. (NPI 1720212335)

Field	Value
Entity Type	Organization
Organization	Maine-ly Elder Care, Inc.
Address	28 Center St.
City	Oakland
State	ME
ZIP	04963
Taxonomy	Personal Care Attendant
NPI Enumerated	May 11, 2009

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal 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…	11,080	$350	$3.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1,370	$40	$60.4K

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

Maine-ly Elder Care, Inc. — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal 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…	44	110	8,200	$220	$4.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	37	50	8,360	$150	$2.9M

Nearby Providers

Other providers in the same ZIP code as Maine-ly Elder Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kennebec Valley Dental Coalition Inc	ME	Dental Clinic/Center	$0	$2.9M
Healthy Healing Counseling Inc.	ME	Case Management Agency	$0	$1.9M
Waterville Womens Care Inc	ME	Obstetrics & Gynecology Physician	$0	$1.3M
Brian Gillis	ME	Colon & Rectal Surgery Physician	$140.3K	$312.7K
Terrance Hawkins	ME	Hospitalist Physician	$191.8K	$0
Teresa Farrington	ME	Pulmonary Disease Physician	$38.4K	$70.5K
Helen Bell Necevski	ME	Optometrist	$73.9K	$0
Dianne Howard Morand	ME	Clinical Social Worker	$39.1K	$13.1K
Lorie Parks	ME	Optometrist	$49.5K	$0
Joseph Lopes	ME	Urology Physician	$27.4K	$0

Maine-ly Elder Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Maine-ly Elder Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Maine-ly Elder Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Maine-ly Elder Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References