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.

Mert Enterprises, Inc. (NPI 1265644314)

Field	Value
Entity Type	Organization
Organization	Mert Enterprises, Inc.
Address	225 Bomarc Rd.
City	Bangor
State	ME
ZIP	04401
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicaid	$36.3M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare revenue on file and all reported lifetime revenue is Medicaid-based, totaling $36.3M. The absence of Medicare billing indicates the organization’s operations and revenue streams are dominated by state Medicaid programs rather than federal Medicare business.

Revenue is highly concentrated in a single service line: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with T2016 representing 100.0% of its $36.3M Medicaid revenue. This concentration means nearly all billed activity and reimbursement flow through one per-diem habilitation code.

The code mix and taxonomy align with a residential habilitation provider model: T2016 is described as Habilitation, residential, waiver; per diem, and the provider’s taxonomy is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Together these indicate the entity primarily operates residential waiver habilitation services for individuals with intellectual and developmental disabilities.

Claim-level and unit economics show substantial per-claim payments: T2016 is reported with 13.1K claims and a $2776 avg paid/claim. That per-diem-level average suggests material per-claim reimbursement and underscores that Medicaid per-diem rates are the primary driver of the provider’s revenue base.

State-level competitive standing is modest: the provider ranks #27 of 75 in-state for T2016, at the 65th percentile, described as typical and unremarkable volume for this code. This ranking indicates the provider is neither a statewide market leader nor a marginal player, but a solid middle-tier participant in residential habilitation services.

The organization has a long tenure in the Medicare/Medicaid environment, with its NPI enumerated on 2007-05-03 (~19 years ago), suggesting an established operational history and continuity in the market. Long enumeration can be indicative of operational stability and experience administering waiver-based residential services.

The combination of a single dominant code (T2016 at 100.0% of Medicaid revenue) and exclusive Medicaid reliance creates concentration risk: changes to Medicaid waiver policy, per-diem rates, or eligibility could materially affect the provider’s entire revenue base. Analysts should monitor state waiver reimbursement rules and any reimbursement trend data for T2016 to assess exposure to policy or rate shifts.

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	13,060	$2,780	$36.3M

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

Mert Enterprises, Inc. — 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	27	80	7,300	$1,670	$30.8M

Nearby Providers

Other providers in the same ZIP code as Mert Enterprises, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Maine Medical Center	ME	General Acute Care Hospital	$0	$159.3M
Creative Options, LLC	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$78.7M
Mas Medical Staffing Corporation	ME	Community/Behavioral Health Agency	$0	$62.5M
Ohi	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$61.9M
Ohi	ME	Mental Illness Community Based Residential Treatment Facility	$0	$39.6M
St. Joseph Hospital	ME	General Acute Care Hospital	$0	$38.8M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$27.3M
Amicus	ME	Developmentally Disabled Services Day Training Agency	$0	$26.1M
Branches, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$25.4M
Lifeflight Of Maine, LLC	ME	Air Ambulance	$2.4M	$19.8M

Mert Enterprises, Inc. — Billing Profile & Reimbursement Data

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Mert Enterprises, 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