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.

Skills, Inc (NPI 1326284092)

Field	Value
Entity Type	Organization
Organization	Skills, Inc
Address	461 Hartland Rd
City	Saint Albans
State	ME
ZIP	04971
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	December 30, 2008

Payer Source	Total Paid
Medicaid	$36.5M
Medicare	$0

Key Findings

SKILLS, INC has no Medicare billing on file and therefore appears to be effectively single-payer in practice, with all recorded federal reimbursement coming through Medicaid. Lifetime Medicaid revenue on file is $36.5M, and there is no parallel Medicare revenue to offset or diversify payor exposure.

Revenue is highly concentrated in a narrow set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, indicating that a very small number of service lines drive nearly all billing. This concentration suggests business risk tied to changes in waiver policy, rates, or utilization for those specific habilitation services.

The code mix (T2016, T2021, T2017) is consistent with an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility operating both residential and day habilitation programs. T2016 is a per-diem residential habilitation waiver code, while T2021 bills day habilitation in 15-minute units; together these indicate the provider runs group residential placements alongside structured day programs rather than primarily outpatient clinical care.

T2016 is the dominant revenue driver: 21.2K claims, $1245 avg paid/claim, $26.3M revenue (72.1% of this provider's total Medicaid revenue) and it ranks #15 of 75 providers in-state (81th percentile; typical, unremarkable volume for this code). That combination of high dollar share and mid-high percentile rank implies SKILLS, INC is a meaningful residential habilitation supplier in Maine but not a statewide market leader.

T2021 also represents a substantial portion of revenue and utilization: 35.5K claims, $285 avg paid/claim, $10.1M revenue (27.7% of this provider's total Medicaid revenue) and it ranks #20 of 72 providers in-state (73th percentile; typical, unremarkable volume for this code). The very high claim count with a $285 average paid per claim is consistent with intensive, time-based day habilitation services billed in many short units.

T2017 is immaterial to the provider's revenue profile: 283 claims, $305 avg paid/claim, $86.3K revenue (0.2% of this provider's total Medicaid revenue) and it ranks #30 of 34 providers in-state (12th percentile; typical, unremarkable volume for this code). The tiny contribution and low rank suggest SKILLS, INC prefers the T2016 per-diem residential approach over 15-minute residential billing for most of its residential habilitation activity.

Taken together, the ranks and percentiles across the top codes indicate SKILLS, INC is a solid, mid-sized participant in Maine's Medicaid habilitation market—noticeable for scale in specific service lines but not a dominant statewide player. Both top codes are described as "typical, unremarkable volume for this code," reinforcing that the provider's patterns are substantial but not outlier-level compared with peers.

SKILLS, INC has been enumerated since 2008-12-30 (~18 years ago), indicating long tenure in the Medicaid program. That duration supports operational stability and suggests established relationships with state waiver administrators and local referral sources, which aligns with its concentration in Medicaid habilitation services.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	21,160	$1,250	$26.3M
T2021	Day habilitation, waiver; per 15 minutes	35,450	$290	$10.1M
T2017	Habilitation, residential, waiver; 15 minutes	280	$310	$86.3K

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

Skills, Inc — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	15	80	7,300	$1,670	$30.8M
T2021	Day habilitation, waiver; per 15 minutes	20	70	13,340	$200	$5.1M
T2017	Habilitation, residential, waiver; 15 minutes	30	30	8,960	$260	$3M

Skills, Inc — Billing Profile & Reimbursement Data

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Skills, 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

Frequently Asked Questions

References