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.

Health Access Network Inc (NPI 1811156904)

Field	Value
Entity Type	Organization
Organization	Health Access Network Inc
Address	175 West Broadway
City	Lincoln
State	ME
ZIP	04457
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 4, 2008

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

55 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	86,450	$130	$11.1M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	13,350	$20	$267.1K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	4,420	$30	$119.4K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	2,570	$30	$87.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	23,310	$1	$46.6K
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…	38,210	$1	$38.2K
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…	12,750	$1	$25.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	7,570	$1	$7.6K
G0008	Administration of influenza virus vaccine	1,330	$10	$6.6K
99442	N/A	420	$10	$5.5K

Showing 1–10 of 55

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

Health Access Network Inc — 5 of 23 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

55 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	8	180	8,540	$180	$3M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	6	80	3,000	$50	$269.8K
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…	54	460	1,240	$30	$190K
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…	18	480	1,030	$20	$128.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	40	40	330	$20	$124.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	39	70	1,060	$40	$97K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	5	30	640	$60	$96.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	44	70	1,000	$40	$91K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	91	170	380	$50	$63.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	37	80	540	$40	$61.6K

Showing 1–10 of 55

Related Providers

Other providers that share a Tax Identification Number (TIN) with Health Access Network Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Access Network Inc	ME	Federally Qualified Health Center (FQHC)	$0	$1.5M
Health Access Network Inc	ME	Federally Qualified Health Center (FQHC)	$0	$729.6K
Health Access Network, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$555.7K
Paula Cyr	ME	Clinical Social Worker	$34.2K	$0
Gary Degen	ME	Foot & Ankle Surgery Podiatrist	$27.9K	$0
Andrea Sewall	ME	Family Nurse Practitioner	$10.3K	$0

Nearby Providers

Other providers in the same ZIP code as Health Access Network Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
R & C Home Care, Inc.	ME	In Home Supportive Care Agency	$0	$13.5M
Mc Community Services	ME	Community/Behavioral Health Agency	$0	$8.1M
Turning Point Mental Health Professionals LLC	ME	Counselor	$0	$2.2M
Health Access Network, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$1.6M
Penobscot Valley Hospital	ME	Critical Access Hospital	$0	$1.3M
Penobscot Valley Hospital	ME	Rural Health Clinic/Center	$0	$1M
Total Renal Care Inc	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$816.2K
Town Of Lincoln	ME	Ambulance	$126K	$492.8K
Devesh Agarwal	ME	Family Medicine Physician	$79.8K	$0
Tammy Webb	ME	Physician Assistant	$16.7K	$0

Health Access Network Inc — Billing Profile & Reimbursement Data

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Health Access Network Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References