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.

Northeast Residential Services (NPI 1184114548)

Field	Value
Entity Type	Organization
Organization	Northeast Residential Services
Address	8a Pomerleau St
City	Biddeford
State	ME
ZIP	04005
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	May 11, 2018

Payer Source	Total Paid
Medicaid	$29.7M
Medicare	$0

Key Findings

NORTHEAST RESIDENTIAL SERVICES is effectively a single-payer Medicaid provider: there is no Medicare billing on file and all reported lifetime revenue is $29.7M from Medicaid, indicating operations are focused entirely on state-covered long-term services rather than fee-for-service Medicare care. The absence of Medicare claims suggests the organization’s customer base and reimbursement operations are structured around Medicaid waivers or state programs rather than Medicare beneficiaries.

Revenue is highly concentrated in a single Medicaid per-diem habilitation code: T2016 accounts for $29.7M and represents 100.0% of the provider’s total Medicaid revenue. This concentration indicates the business model is dominated by residential habilitation services billed on a per-diem basis rather than a diversified mix of procedure or visit-based codes.

The code mix and label for T2016 (Habilitation, residential, waiver; per diem) point to an in-home supportive/residential habilitation service-line offering sustained, daily support under waiver programs rather than episodic clinical procedures. Given the provider taxonomy of In Home Supportive Care Agency, the billing pattern aligns with providing ongoing residential habilitation and waiver services where per-diem reimbursement is the primary revenue driver.

Competitive standing for T2016 within Maine is modest: the provider ranks #41 of 75 in the state and sits at the 46th percentile for volume of this code. That percentile position and midpack rank indicate NORTHEAST RESIDENTIAL SERVICES is a typical, unremarkable volume provider for this service in-state rather than a market leader or a small niche player.

The provider’s NPI was enumerated on 2018-05-11 (approximately 8 years ago), which indicates a multi-year operational presence in the market; combined with concentrated per-diem billing, this tenure suggests an established residential habilitation operation with steady reliance on Medicaid waiver payments.

Because the top 3 Medicaid codes by revenue account for 100.0% of total Medicaid revenue and we have only a single listed code (T2016) contributing to that sum, the provider faces high payer-code concentration risk: changes to waiver policy, per-diem rates, or eligibility for T2016 would likely have an outsized impact on overall revenue. Monitoring state waiver rule changes and per-diem reimbursement levels will be critical for forecasting this provider’s financial stability.

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	5,500	$5,400	$29.7M

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

Northeast Residential Services — 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	41	80	7,300	$1,670	$30.8M

Nearby Providers

Other providers in the same ZIP code as Northeast Residential Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	General Acute Care Hospital	$0	$70.7M
Spurwink Services Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$38.6M
Counseling And Trauma Therapy Associates	ME	Clinical Social Worker	$0	$12.4M
Mainehealth	ME	Multi-Specialty Clinic/Center	$0	$10.9M
Easy Care Residential	ME	In Home Supportive Care Agency	$0	$10.3M
Maine Behavioral Healthcare	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.9M
Remmes Orthodontics, P.A.	ME	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.8M
Oceanside Community Services	ME	Community/Behavioral Health Agency	$0	$5.5M
Maine Connect Care LLC	ME	Home Health Agency	$0	$4.3M
Savida Health, PC	ME	Addiction Medicine (Internal Medicine) Physician	$0	$3.9M

Northeast Residential Services — Billing Profile & Reimbursement Data

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Northeast Residential Services — Billing Profile & Reimbursement Data

Sign up for Northeast Residential Services — 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