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.

Port Resources (NPI 1053467779)

Field	Value
Entity Type	Organization
Organization	Port Resources
Address	280b Gannett Dr
City	South Portland
State	ME
ZIP	04106
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$82.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator: lifetime Medicare revenue is none (no Medicare billing on file) while reported Medicaid revenue totals $82.9M, and the NPI was enumerated on 2007-01-26 (~19 years ago), indicating nearly two decades of active enrollment. The absence of Medicare billing combined with long tenure suggests a business model focused on state-funded long-term services rather than Medicare-covered medical care.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three Medicaid codes account for 97.6% of this provider’s total Medicaid revenue, with the single code T2016 contributing $73.9M (89.2% of Medicaid revenue). This concentration signals that the provider’s financial performance is heavily dependent on a narrow set of per-diem residential habilitation payments.

The code mix indicates a core business of residential habilitation and adult foster placements: T2016 (Habilitation, residential, waiver; per diem) has 67.8K claims at $1090 avg paid/claim for $73.9M revenue, and S5140 (Foster care, adult; per diem) has 15.7K claims at $360 avg paid/claim for $5.7M revenue. Together these per-diem, bed-day-oriented codes imply the operation runs long-term residential programs or group home settings rather than short outpatient encounters.

Competitive standing by code shows prominence for the core residential service but only mid-tier positions for ancillary codes: T2016 ranks #4 of 75 providers in-state (96th percentile), indicating a leading position for that per-diem habilitation service; by contrast, S5140 ranks #12 of 31 (63rd percentile) and T2017 ranks #13 of 34 (64th percentile), which place the provider as a modest-to-mid-level participant for those supplementary service lines.

The dataset’s plain-English statistical tags describe the provider’s volumes for its top codes as “typical, unremarkable volume” despite the large dollar share—T2016, S5140, and T2017 are all labeled typical. This suggests that, relative to the chosen peer groups for each code, the provider’s utilization pattern aligns with common practice for residential habilitation providers rather than representing an unusual outlier.

Services outside the core residential habilitation footprint are a small portion of revenue: H0004 ($677.8K, 0.8%), 90837 ($91.8K, 0.1%), H2010 ($129.3K, 0.2%) and other counseling/assessment codes collectively represent only a sliver of the $82.9M Medicaid total. That limited diversification implies clinical and billing activity is concentrated on residential per-diem care rather than expanded outpatient behavioral health lines.

Operational metrics reinforce a census-driven model: very high counts of per-diem claims (67.8K for T2016 and 15.7K for S5140) combined with the relatively high avg paid/claim for T2016 ($1090) indicate revenue is driven by occupied residential days and placements. This profile creates exposure to changes in Medicaid per-diem rates, waiver policies, or state-level placement demand that would disproportionately affect overall revenue.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	67,840	$1,090	$73.9M
S5140	Foster care, adult; per diem	15,710	$360	$5.7M
T2017	Habilitation, residential, waiver; 15 minutes	13,050	$100	$1.4M
T2021	Day habilitation, waiver; per 15 minutes	13,340	$80	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	8,920	$80	$677.8K
H2010	Comprehensive medication services, per 15 minutes	970	$130	$129.3K
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…	4,370	$20	$91.8K
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…	730	$30	$20.4K
G9007	Coordinated care fee, scheduled team conference	380	$50	$18.8K
H0031	Mental health assessment, by non-physician	240	$50	$10.7K

Showing 1–10 of 11

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

Port Resources — 1 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	4	80	7,300	$1,670	$30.8M
S5140	Foster care, adult; per diem	12	30	9,310	$530	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	36	70	13,340	$200	$5.1M
T2017	Habilitation, residential, waiver; 15 minutes	13	30	8,960	$260	$3M
H2010	Comprehensive medication services, per 15 minutes	38	50	3,690	$130	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	47	290	860	$80	$805.1K
G9007	Coordinated care fee, scheduled team conference	17	30	950	$60	$258.2K
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…	273	460	1,240	$30	$190K
H0031	Mental health assessment, by non-physician	2	10	1,840	$70	$128.3K
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…	10	140	470	$30	$59K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Port Resources, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpha One	ME	Case Management Agency	$0	$121.3M
The Opportunity Alliance	ME	Mental Illness Community Based Residential Treatment Facility	$0	$50.6M
Community Home Health Care	ME	In Home Supportive Care Agency	$0	$40.3M
Serenity Residential Care, LLC	ME	In Home Supportive Care Agency	$0	$34.4M
Noreast Home Care, LLC	ME	In Home Supportive Care Agency	$0	$24.7M
Center For Behavioral Health Me, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$536.2K	$20.1M
Connections For Kids	ME	Social Worker	$0	$13.8M
Vna Home Health & Hospice	ME	Home Health Agency	$227.2K	$10.4M
Standard Care, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M
Peace Residential Care LLC	ME	In Home Supportive Care Agency	$0	$7.9M

Port Resources — Billing Profile & Reimbursement Data

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Port Resources — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References