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.

Northern Maine Medical Center (NPI 1922087246)

Field	Value
Entity Type	Organization
Organization	Northern Maine Medical Center
Address	460 Main St
City	Madawaska
State	ME
ZIP	04756
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	January 13, 2006

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	16,940	$140	$2.4M
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…	12,790	$20	$191.9K
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…	5,810	$10	$75.5K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1,850	$20	$35.1K
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…	1,200	$10	$16.8K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	690	$20	$11K
99336	N/A	440	$20	$6.6K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	150	$40	$6.3K
99335	N/A	210	$20	$4.5K
99337	N/A	80	$30	$2.2K

Showing 1–10 of 19

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

Northern Maine Medical Center — 0 of 15 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	54	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…	53	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…	118	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…	36	170	380	$50	$63.7K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	40	70	220	$70	$54K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	96	190	390	$20	$42.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	21	50	450	$20	$41.8K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	57	70	890	$10	$21.5K
99336	N/A	6	10	350	$30	$20.7K
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…	26	50	170	$20	$20.3K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northern Maine Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Maine Medical Center	ME	Critical Access Hospital	$0	$5.8M
Northern Maine Medical Center	ME	Rural Health Clinic/Center	$0	$3M
Bogdan Cherascu	IA	Rheumatology Physician	$2.4M	$0
Allan Espinosa Morazan	AZ	Medical Oncology Physician	$2.2M	$0
Northern Maine Medical Center	ME	Rural Health Clinic/Center	$0	$1.5M
Northern Maine Medical Center	ME	Rural Health Clinic/Center	$0	$1.3M
Steven Hake	CO	Diagnostic Radiology Physician	$982.7K	$0
Alan Mautz	WI	Diagnostic Radiology Physician	$430.5K	$1.7K
Iqra Choudary	NY	Hematology & Oncology Physician	$406.5K	$1.9K
Elliott Wagner	CA	Diagnostic Radiology Physician	$392.6K	$7.3K

Nearby Providers

Other providers in the same ZIP code as Northern Maine Medical Center, 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
St John Valley Associates, Inc.	ME	Community/Behavioral Health Agency	$0	$2.3M
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

Northern Maine Medical Center — Billing Profile & Reimbursement Data

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Northern Maine Medical Center — 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