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.

St John Valley Associates, Inc. (NPI 1851625834)

Field	Value
Entity Type	Organization
Organization	St John Valley Associates, Inc.
Address	291 Newberry Dr
City	Madawaska
State	ME
ZIP	04756
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 24, 2009

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	9,010	$250	$2.3M

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

St John Valley Associates, Inc. — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	42	70	13,340	$200	$5.1M

Nearby Providers

Other providers in the same ZIP code as St John Valley Associates, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fish River Rural Health	ME	Federally Qualified Health Center (FQHC)	$0	$4.9M
Northern Maine Medical Center	ME	Rural Health Clinic/Center	$0	$2.8M
Town Of Madawaska	ME	Land Ambulance	$291.7K	$477.5K
Elizabeth Demott	ME	Clinical Social Worker	$120.1K	$0
John Doucette	ME	Physical Therapist	$84.2K	$0
Kayla Michaud	ME	Clinical Social Worker	$22.4K	$0
Silwana Sidorczuk	ME	Family Medicine Physician	$1.2K	$0
Debbra Mcglaughlin	ME	Nurse Practitioner	$1K	$0

St John Valley Associates, Inc. — Billing Profile & Reimbursement Data

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St John Valley Associates, 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

Nearby Providers

Frequently Asked Questions

References