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.

Redington-fairview General Hospital (NPI 1851423008)

Field	Value
Entity Type	Organization
Organization	Redington-fairview General Hospital
Address	344 Lakewood Road
City	Madison
State	ME
ZIP	04950
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	6,860	$140	$939.5K
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…	4,710	$10	$51.8K
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…	1,340	$10	$9.4K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	1,880	$1	$3.8K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	70	$20	$1.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	160	$10	$940
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	60	$10	$800
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…	50	$20	$740
G0463	Hospital outpatient clinic visit for assessment and management of a patient	310	$1	$620
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	10	$40	$620

Showing 1–10 of 14

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

Redington-fairview General Hospital — 0 of 13 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	50	60	18,740	$60	$4.6M
T1015	Clinic visit/encounter, all-inclusive	98	180	8,540	$180	$3M
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…	122	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…	218	480	1,030	$20	$128.9K
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…	138	170	380	$50	$63.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	61	60	12,710	$1	$57.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	112	190	390	$20	$42.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	54	70	260	$30	$26.8K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	65	80	160	$30	$22.6K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	36	50	170	$20	$20.3K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Redington-fairview General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Redington-fairview General Hospital	ME	Critical Access Hospital	$0	$5.9M
Ellie Mueller	ME	Interventional Cardiology Physician	$201.2K	$0
Brian Ewy	ME	Diagnostic Radiology Physician	$151.6K	$7.5K
George Polkinghorn	ME	Medical Oncology Physician	$83.8K	$0
Devesh Agarwal	ME	Family Medicine Physician	$79.8K	$0
Michael Monzel	ME	Gastroenterology Physician	$55.4K	$0
Jorge Escobar Valle	PA	Cardiovascular Disease Physician	$54.7K	$0
Adam Caldwell	ME	Cardiovascular Disease Physician	$54.1K	$0
Heinrich Grube	ME	Cardiovascular Disease Physician	$54K	$0
David Frost	ME	Cardiovascular Disease Physician	$52.8K	$0

Nearby Providers

Other providers in the same ZIP code as Redington-fairview General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$4.3M
Hearts Of Angels Home Care LLC	ME	In Home Supportive Care Agency	$0	$1.9M

Redington-fairview General Hospital — Billing Profile & Reimbursement Data

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Redington-fairview General Hospital — 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