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.

Alternative Services-ne, Inc. (NPI 1114152089)

Field	Value
Entity Type	Organization
Organization	Alternative Services-ne, Inc.
Address	1567 Lisbon St
City	Lewiston
State	ME
ZIP	04240
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	May 21, 2009

Payer Source	Total Paid
Medicaid	$71.6M
Medicare	$0

Key Findings

ALTERNATIVE SERVICES-NE, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $71.6M in lifetime Medicaid revenue, indicating its operations and revenue are driven almost entirely by Medicaid-funded services. The absence of Medicare activity suggests the organization focuses on services reimbursed through state Medicaid programs rather than federal fee-for-service Medicare lines.

Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes account for 97.6% of this provider's total Medicaid revenue, so a handful of per-diem residential and habilitation codes dominate financial performance. This concentration implies that shifts in Medicaid policy or rates for those specific codes would materially affect the provider's top-line revenue.

Two per-diem residential codes drive the vast majority of dollars: H0019 accounts for $37.1M (51.8% of total Medicaid revenue) with $11770 avg paid/claim, and T2016 accounts for $29.9M (41.8% of total Medicaid revenue) with $10260 avg paid/claim. Both codes are long-term or residential habilitation per-diem services, which aligns with the provider taxonomy (Intellectual and/or Developmental Disabilities Residential Treatment Facility) and indicates the operation is centered on extended residential habilitation rather than short episodic care.

The provider’s competitive standing varies by service line within the state. For H0019 the provider ranks #24 of 28 providers in-state (15th percentile; typical, unremarkable volume for this code), and for T2016 it ranks #55 of 75 providers in-state (27th percentile; typical, unremarkable volume for this code), signaling modest market share in the largest dollar-per-diem residential categories despite those categories constituting most revenue. These ranks suggest the provider achieves large absolute revenue from these codes because of very high per-diem rates and substantial claim counts at the facility level rather than statewide dominance of volume.

By contrast, the provider is comparatively prominent for community support services: H2015 generated $2.9M (4.0% of total Medicaid revenue) from 49.7K claims and ranks #5 of 71 providers in-state (94th percentile; typical, unremarkable volume for this code). Although H2015 represents a small share of total dollars, the high in-state rank indicates the organization is an important regional supplier of per-15-minute comprehensive community support services.

A smaller ancillary line appears in psychosocial rehabilitation: H2017 produced $1.7M (2.4% of total Medicaid revenue) with 4.2K claims and is ranked #12 of 15 providers in-state (21th percentile; typical, unremarkable volume for this code). This service is not a major revenue driver compared with the two large per-diem residential codes, but the $406 avg paid/claim for H2017 suggests relatively high unit rates for those sessions when provided.

The combination of high avg paid/claim values for the top per-diem codes (H0019 $11770 avg paid/claim and T2016 $10260 avg paid/claim) and a taxonomy focused on intellectual/developmental disabilities residential treatment indicates a business model built around long-stay residential habilitation and waiver-funded placement. This operational profile implies reliance on enrollment/census stability and per-diem reimbursement rather than high-volume, low-unit outpatient billing.

The provider has an established presence: its NPI was enumerated on 2009-05-21 (~17 years ago), suggesting a long-tenured operation in the state Medicaid market. Given that history and the revenue concentration described above, payer or network analysts should prioritize review of per-diem residential and habilitation reimbursement policies and local capacity dynamics when assessing this entity's competitive and fiscal exposure.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	3,150	$11,770	$37.1M
T2016	Habilitation, residential, waiver; per diem	2,920	$10,260	$29.9M
H2015	Comprehensive community support services, per 15 minutes	49,660	$60	$2.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	4,180	$410	$1.7M

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

Alternative Services-ne, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	55	80	7,300	$1,670	$30.8M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	24	30	13,990	$560	$23.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	12	20	16,420	$120	$3.6M
H2015	Comprehensive community support services, per 15 minutes	5	70	7,120	$100	$1.7M

Nearby Providers

Other providers in the same ZIP code as Alternative Services-ne, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Maine Medical Center	ME	General Acute Care Hospital	$0	$76.1M
Seniorsplus	ME	Case Management Agency	$0	$74.6M
Support Solutions Inc	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$72.9M
St. Mary's Regional Medical Center	ME	General Acute Care Hospital	$0	$67.4M
Coastal Community Care, LLC	ME	Community/Behavioral Health Agency	$0	$24.1M
Androscoggin Home Health Services, Inc.	ME	Home Health Agency	$0	$20.6M
R.i.s.e., Inc.	ME	In Home Supportive Care Agency	$0	$18.5M
Community Clinical Services, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$17.3M
Bright Future Healthier You	ME	Case Management Agency	$0	$17.1M
Pediatric Associates Of Lewiston P.A.	ME	Pediatrics Physician	$0	$13.2M

Alternative Services-ne, Inc. — Billing Profile & Reimbursement Data

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Alternative Services-ne, Inc. — 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