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.

Noreast Home Care, LLC (NPI 1750630992)

Field	Value
Entity Type	Organization
Organization	Noreast Home Care, LLC
Address	584 Main St
City	South Portland
State	ME
ZIP	04106
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	September 4, 2012

Payer Source	Total Paid
Medicaid	$24.7M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file (none) and has all recorded program revenue through Medicaid, totaling $24.7M; in practical terms NOREAST HOME CARE, LLC is effectively a single-payer Medicaid operation in the observed data. The absence of Medicare claims means analyses of Medicare-facing service lines or Medicare competitiveness are not applicable for this entity.

Revenue is extremely concentrated in a very small set of Medicaid procedure codes: the top three Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with a single code, T1019, representing the bulk of payments at 96.3% of Medicaid revenue. This concentration signals that the provider’s financial performance is tightly linked to reimbursement and utilization patterns for a single service category.

The reported code mix and taxonomy (In Home Supportive Care Agency) indicate the operation is focused on in-home personal assistance and respite services: T1019 (Personal care services, per 15 minutes) and T1005 (Respite care services, up to 15 minutes) are the revenue drivers. The dominance of per-15-minute personal care billing (34.9K claims for T1019 and 9.1K claims for T1005) is consistent with a high-volume, time-based home care model delivering routine activities-of-daily-living support under individualized plans.

Competitive standing for the leading code shows it is not an outlier despite high aggregate dollars: T1019 ranks #17 of 110 providers in-state (85th percentile) but the data label describes this as "typical, unremarkable volume" for the code, and T1005 ranks #4 of 18 providers in-state (82th percentile) also labeled "typical, unremarkable volume." In other words, the provider sits among higher-volume state peers on these services but the statistical characterization provided frames its activity as within expected norms rather than anomalous.

Several reported codes have zero recorded payment amounts despite nonzero claim counts: T1015 shows 275 claims with $0 avg paid/claim and $0 revenue, and T1006 shows 26 claims with $0 avg paid/claim and $0 revenue. These entries appear in the Medicaid activity set but contribute no recorded revenue, which likely reflects encounter- or administrative-type reporting rather than a revenue stream and should be treated as non-revenue-bearing in financial comparisons.

Operational scale is concentrated in time-based, per-15-minute units: T1019 has 34.9K claims with a listed $681 avg paid/claim and $23.8M revenue, while T1005 has 9.1K claims with a $101 avg paid/claim and $915.5K revenue. These volumes indicate substantial recurring delivery of short-interval in-home services rather than episodic, high-dollar procedures, aligning with a labor-intensive home care delivery model.

The provider’s tenure (NPI enumerated (registered): 2012-09-04 (~14 years ago)) indicates an established local presence, which may support steady Medicaid referral and authorization flows for long-running community-based services. Longevity combined with concentrated service lines suggests an operational focus on core in-home supportive care activities over time.

Because 100.0% of Medicaid revenue is concentrated in the top three codes and 96.3% is tied to a single code (T1019), the provider’s financial exposure is highly sensitive to policy, rate, or utilization shifts affecting personal care and respite codes. Analysts should treat reimbursement changes to T1019/T1005 or changes in authorization practices as primary drivers of future revenue variance for this entity.

Medicaid: Complete Services Breakdown

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

4 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…	34,890	$680	$23.8M
T1005	Respite care services, up to 15 minutes	9,060	$100	$915.5K
T1006	Alcohol and/or substance abuse services, family/couple counseling	30	$0	$0
T1015	Clinic visit/encounter, all-inclusive	280	$0	$0

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

Noreast Home Care, LLC — 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

4 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…	17	110	8,200	$220	$4.7M
T1015	Clinic visit/encounter, all-inclusive	152	180	8,540	$180	$3M
T1005	Respite care services, up to 15 minutes	4	20	590	$90	$407.9K
T1006	Alcohol and/or substance abuse services, family/couple counseling	1	10	30	$0	$0

Nearby Providers

Other providers in the same ZIP code as Noreast Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpha One	ME	Case Management Agency	$0	$121.3M
Port Resources	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$82.9M
The Opportunity Alliance	ME	Mental Illness Community Based Residential Treatment Facility	$0	$50.6M
Community Home Health Care	ME	In Home Supportive Care Agency	$0	$40.3M
Serenity Residential Care, LLC	ME	In Home Supportive Care Agency	$0	$34.4M
Center For Behavioral Health Me, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$536.2K	$20.1M
Connections For Kids	ME	Social Worker	$0	$13.8M
Vna Home Health & Hospice	ME	Home Health Agency	$227.2K	$10.4M
Standard Care, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M
Peace Residential Care LLC	ME	In Home Supportive Care Agency	$0	$7.9M

Noreast Home Care, LLC — Billing Profile & Reimbursement Data

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Noreast Home Care, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References