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.

Maine Behavioral Health Organization (NPI 1992096515)

Field	Value
Entity Type	Organization
Organization	Maine Behavioral Health Organization
Address	30 Leavitt St
City	Skowhegan
State	ME
ZIP	04976
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 29, 2011

Payer Source	Total Paid
Medicaid	$11.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	37,740	$90	$3.5M
H2010	Comprehensive medication services, per 15 minutes	20,100	$150	$3M
T1017	Targeted case management, each 15 minutes	29,570	$70	$1.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	18,730	$70	$1.3M
H2021	Community-based wrap-around services, per 15 minutes	8,990	$140	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	680	$90	$59.2K
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…	660	$30	$19.7K
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…	560	$20	$11.7K
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…	140	$20	$2.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	20	$20	$400

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

Maine Behavioral Health Organization — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	52	100	8,660	$290	$5.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	14	20	16,420	$120	$3.6M
H2015	Comprehensive community support services, per 15 minutes	9	70	7,120	$100	$1.7M
H2010	Comprehensive medication services, per 15 minutes	6	50	3,690	$130	$1.6M
T1017	Targeted case management, each 15 minutes	17	100	4,690	$90	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	30	290	860	$80	$805.1K
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…	376	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…	283	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…	61	170	380	$50	$63.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	139	140	470	$30	$59K

Nearby Providers

Other providers in the same ZIP code as Maine Behavioral Health Organization, 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
Rachelle Nunn	ME	In Home Supportive Care Agency	$0	$5.4M
E.c.c.o.	ME	Community/Behavioral Health Agency	$0	$2.7M
Dialysis Clinic Inc.	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.5M
School Administrative District No 54	ME	Local Education Agency (LEA)	$0	$504.6K
Skowhegan Imaging Associates, P.A.	ME	Diagnostic Radiology Physician	$0	$349.9K
Aalia Fathima Mohamed Ghouse	ME	Internal Medicine Physician	$94.8K	$0
Daniel Stadler	ME	Internal Medicine Physician	$90.2K	$0
Insight-premier Health LLC	ME	Diagnostic Radiology Physician	$27.1K	$57.8K
Michael Monzel	ME	Gastroenterology Physician	$55.4K	$0

Maine Behavioral Health Organization — Billing Profile & Reimbursement Data

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Maine Behavioral Health Organization — Billing Profile & Reimbursement Data

Sign up for Maine Behavioral Health Organization — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References