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.

Lee Residential Care,llc (NPI 1043447493)

Field	Value
Entity Type	Organization
Organization	Lee Residential Care,llc
Address	76 Laskey Ln
City	Hampden
State	ME
ZIP	04444
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	June 12, 2009

Payer Source	Total Paid
Medicaid	$52.4M
Medicare	$0

Key Findings

LEE RESIDENTIAL CARE,LLC is effectively a single-payer Medicaid provider: it reports no Medicare revenue on file and $52.4M in lifetime Medicaid revenue, indicating the organization’s operations are concentrated entirely in the Medicaid space rather than split between Medicare and Medicaid. This payer mix implies its services and business model are targeted to populations covered by state Medicaid programs rather than Medicare beneficiaries.

The provider’s Medicaid revenue is entirely driven by a single HCPCS code: T2016 accounts for $52.4M and 100.0% of its total Medicaid revenue. This absolute concentration on T2016 (Habilitation, residential, waiver; per diem) signals that the organization’s service line is highly specialized toward residential habilitation and waiver-crafted per diem care rather than a diversified set of clinical services.

Operationally, the code mix indicates LEE RESIDENTIAL CARE functions as an Intellectual and/or Developmental Disabilities community-based residential treatment facility delivering per diem habilitation services under Medicaid waiver arrangements. The high average paid per claim ($4156 avg paid/claim) and the nature of T2016 are consistent with long-stay, room-and-board plus habilitation support models rather than episodic outpatient care.

Competitive standing within Maine for T2016 is modest: the provider ranks #29 of 75 in-state and sits at the 62th percentile for volume on this code. That rank places it in the middle third of in-state providers billing T2016, suggesting it is a steady, typical-volume participant in the Medicaid residential habilitation market rather than a dominant statewide provider.

The claim volume supporting the T2016 revenue is substantial: 12.6K claims billed against this single code. That scale of claim activity, coupled with the high per-claim payment, implies a sizable census of residents or consistent daily billing patterns; this operational footprint should be interpreted as program-scale residential care rather than occasional/respite services.

LEE RESIDENTIAL CARE,LLC has been enumerated since 2009-06-12 (approximately 17 years), indicating a long tenure in the Medicaid provider base. This multi-year presence supports the interpretation that the provider runs an established residential habilitation program with sustained Medicaid billing rather than a recently opened or transient operation.

Because the provider’s revenue depends exclusively on one Medicaid per-diem code, its financial and operational risk profile is concentrated: changes to waiver policy, per-diem rates, or eligibility for T2016 would disproportionately affect total revenue. Analysts should treat this concentration as a key vulnerability and focus diligence on regulatory/waiver stability and utilization drivers for the per-diem service.

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
T2016	Habilitation, residential, waiver; per diem	12,600	$4,160	$52.4M

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

Lee Residential Care,llc — 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
T2016	Habilitation, residential, waiver; per diem	29	80	7,300	$1,670	$30.8M

Nearby Providers

Other providers in the same ZIP code as Lee Residential Care,llc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Citizens Of Maine, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.3M
Acadia Home Care	ME	Durable Medical Equipment & Medical Supplies	$0	$3M
Prevention Works	ME	Dental Hygienist	$0	$1.2M
Town Of Hampden	ME	Land Ambulance	$56.8K	$59K
Leslie Farrington	ME	Physical Therapist	$65.7K	$0
John Patten	ME	Family Medicine Physician	$14.2K	$0

Lee Residential Care,llc — Billing Profile & Reimbursement Data

Sign up for Lee Residential Care,llc — Billing Profile & Reimbursement Data policy alerts

Lee Residential Care,llc — Billing Profile & Reimbursement Data

Sign up for Lee Residential Care,llc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References