Say I have 60% Medicaid and 40% private or self pay, I will seen 25 patients in a day consisting of 15 Medicaid and 10 private. So, you can see where it would be 10 patients a day, which wouldn't pay the bills.
In NYC we only get $30 or $35 for a medicaid patient regardless of the lenght or complexity of the visit. We never had many because I made Alice stop taking them. But if Mainecare compensates like they do here, thats $400/day in Medicare payments for 15 patients. If you can replace them with 5-7 commerical patients, it will lower your workload.