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.

Hospice Of Southern Maine (NPI 1972594232)

Field	Value
Entity Type	Organization
Organization	Hospice Of Southern Maine
Address	390 Us Route 1
City	Scarborough
State	ME
ZIP	04074
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	November 4, 2005

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2042	Hospice routine home care; per diem	8,880	$210	$1.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	29,560	$1	$29.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$30	$360
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	7,880	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	17,580	$0	$0
J1630	Injection, haloperidol, up to 5 mg	470	$0	$0
J2060	Injection, lorazepam, 2 mg	940	$0	$0
J2270	Injection, morphine sulfate, up to 10 mg	1,150	$0	$0
J3490	Unclassified drugs	30	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	2,880	$0	$0

Showing 1–10 of 13

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

Hospice Of Southern Maine — 1 of 3 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	12	50	8,360	$150	$2.9M
T2042	Hospice routine home care; per diem	1	10	3,270	$510	$2.2M
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	4	20	2,780	$10	$40.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	43	40	70	$60	$16.6K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	10	20	17,870	$1	$11.7K
J3490	Unclassified drugs	24	30	420	$1	$820
J2270	Injection, morphine sulfate, up to 10 mg	12	30	920	$1	$290
J2060	Injection, lorazepam, 2 mg	15	30	820	$1	$230
J1630	Injection, haloperidol, up to 5 mg	6	20	210	$1	$20
Q5001	Hospice or home health care provided in patient's home/residence	5	30	960	$0	$0

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Hospice Of Southern Maine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nordx	ME	Clinical Medical Laboratory	$2.4M	$21.8M
New England Life Care, Inc.	ME	Home Infusion Therapy Pharmacy	$0	$12.4M
Northeast Mobile Health Services	ME	Ambulance	$930.3K	$9.5M
Choices Are For Everyone, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.7M
Skilled Care Solutions	ME	Home Health Agency	$0	$6.8M
Surgi-care, Inc	ME	Prosthetic/Orthotic Supplier	$0	$5.6M
Mainehealth	ME	Family Medicine Physician	$0	$5M
Mainehealth	ME	Neurology Physician	$0	$4.2M
Mainehealth	ME	Cardiovascular Disease Physician	$0	$3.9M
Maine Home Care Solutions	ME	In Home Supportive Care Agency	$0	$3.2M

Hospice Of Southern Maine — Billing Profile & Reimbursement Data

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Hospice Of Southern Maine — 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