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.

Support Solutions Inc (NPI 1235299496)

Field	Value
Entity Type	Organization
Organization	Support Solutions Inc
Address	124 Canal St
City	Lewiston
State	ME
ZIP	04240
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	December 11, 2006

Payer Source	Total Paid
Medicaid	$72.9M
Medicare	$0

Key Findings

Support Solutions Inc has no Medicare billing on file and is effectively a single-payer Medicaid provider; total Medicaid revenue on the record is $72.9M and there is no listed Medicare revenue, indicating the organization’s operations and reimbursement risk are concentrated entirely in Medicaid funding streams.

Medicaid revenue is highly concentrated in a small set of service codes: the precomputed top-three Medicaid codes account for 100.0% of the provider’s Medicaid revenue, signaling a narrow service mix focused on a few core habilitation activities.

The dominant revenue driver is T2016 (Habilitation, residential, waiver; per diem), which accounts for $62.5M and 85.6% of the provider’s Medicaid revenue. This concentration shows Support Solutions Inc primarily operates as a residential habilitation facility providing per-diem residential waiver services rather than a broad spectrum of outpatient or clinic-based services.

The secondary revenue source is T2021 (Day habilitation, waiver; per 15 minutes), which represents $10.5M and 14.4% of Medicaid revenue with 88.9K claims. The sizable claim volume for T2021 indicates the provider also delivers substantial day habilitation programming in addition to residential supports, consistent with an integrated residential-plus-day habilitation service model.

Competitive standing for these codes in-state is mixed: for T2016 the provider ranks #18 of 75 (77th percentile) which the data labels as typical or unremarkable volume relative to peers, suggesting it is a routine-sized residential waiver provider in Maine. In contrast, for T2021 the provider ranks #4 of 72 (96th percentile) and is described as notably above typical state volume, indicating regional strength in day habilitation services relative to other in-state providers.

The provider’s NPI was enumerated on 2006-12-11 (approximately 20 years ago), indicating long tenure in the market; that longevity combined with the concentrated revenue mix suggests an established specialty operation focused on intellectual and developmental disabilities residential treatment.

Because Medicaid accounts for the entirety of reported public-payer revenue and the top code alone comprises 85.6% of Medicaid revenue, the organization faces high revenue concentration risk tied to policy or rate changes affecting waiver residential per-diem payments. Any shifts in Medicaid waiver program rules, per-diem rates, or utilization patterns for T2016 would disproportionately affect the provider’s overall revenue.

Claim-level patterns show different operational emphases: very high average paid/claim for T2016 ($3309 avg paid/claim) aligns with residential per-diem economics, while lower average paid/claim for T2021 ($118 avg paid/claim) with high claim volume (88.9K claims) aligns with short-interval, high-frequency day habilitation units, implying staffing and scheduling models optimized for both continuous residential care and frequent day-program delivery.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	18,880	$3,310	$62.5M
T2021	Day habilitation, waiver; per 15 minutes	88,890	$120	$10.5M

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

Support Solutions Inc — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	18	80	7,300	$1,670	$30.8M
T2021	Day habilitation, waiver; per 15 minutes	4	70	13,340	$200	$5.1M

Nearby Providers

Other providers in the same ZIP code as Support Solutions 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
Alternative Services-ne, Inc.	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$71.6M
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

Support Solutions Inc — Billing Profile & Reimbursement Data

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Support Solutions 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