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.

Independence Association, Inc (NPI 1346391901)

Field	Value
Entity Type	Organization
Organization	Independence Association, Inc
Address	87 Baribeau Dr
City	Brunswick
State	ME
ZIP	04011
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 12, 2007

Payer Source	Total Paid
Medicaid	$57.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all recorded lifetime revenue is Medicaid-based ($57.9M). The absence of Medicare activity means payers and network planners should treat Independence Association, Inc. as a Medicaid-centric operator with minimal exposure to Medicare populations.

Revenue is highly concentrated in a small set of waiver and habilitation services: the precomputed top 3 Medicaid codes account for 82.8% of the provider's Medicaid revenue, with T2016 accounting for $32.4M (56.0% of total Medicaid revenue), T2021 $11.1M (19.2%), and S5140 $4.4M (7.6%). This concentration indicates the provider depends on a narrow set of service lines for the majority of its Medicaid receipts.

The billing mix and taxonomy (Developmentally Disabled Services Day Training Agency) suggest core operations are residential and day habilitation services under waiver programs: T2016 (habilitation, residential, waiver; per diem) and T2021 (day habilitation, waiver; per 15 minutes) together represent the dominant service lines by revenue and volume. High per‑diem residential payments (T2016) combined with very large 15‑minute day habilitation volume (T2021) point to a program model that combines onsite residential supports with intensive daytime habilitation programming.

Competitive standing varies by code: for day habilitation T2021 the provider ranks #2 of 72 statewide (99th percentile) and is described as "notably above typical state volume," indicating a market‑leading position in that service. By contrast, its residential per‑diem T2016 ranks #38 of 75 (50th percentile) and is characterized as "typical, unremarkable volume," so the provider is not dominant statewide in residential per‑diem compared with peers.

The organization also bills meaningful amounts for case management and targeted case management: G9012 shows $3.3M (5.7% of Medicaid revenue, ranks #17 of 50, characterized as typical) and T1017 shows $3.1M (5.3% of Medicaid revenue, ranks #7 of 104, characterized as notably above typical). These patterns indicate an operational capacity for case management functions and suggest integrated service offerings beyond direct habilitation (e.g., coordination or targeted case work billed separately).

Some ancillary service lines remain small: T2017 (habilitation, residential, waiver; 15 minutes) contributes $3.5M (6.0% of revenue) and ranks #4 of 34 (reported as typical), while H2023 (supported employment) is minimal at $126.8K (0.2% of revenue) and ranks #14 of 21 (35th percentile). This mix implies limited activity in supported employment despite stronger footprints in day and residential habilitation.

Given the $57.9M Medicaid scale and zero Medicare billing, the provider's financial and operational risk is concentrated on Medicaid policy, waiver funding levels, and state reimbursement practices; changes to waiver rules or per‑diem/15‑minute rates could materially affect overall revenue. Analysts evaluating network contracting or rate negotiations should treat Medicaid reimbursement policy as the primary lever affecting this entity.

Independence Association, Inc. shows operational longevity: its NPI was enumerated on 2007-01-12 (~19 years ago), suggesting established relationships with Maine Medicaid and a sustained presence in the state service ecosystem. That tenure combined with top‑ranked T2021 volume supports the view of a persistent, specialized provider rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	7,300	$4,440	$32.4M
T2021	Day habilitation, waiver; per 15 minutes	106,630	$100	$11.1M
S5140	Foster care, adult; per diem	11,810	$370	$4.4M
T2017	Habilitation, residential, waiver; 15 minutes	27,000	$130	$3.5M
G9012	Other specified case management service not elsewhere classified	43,780	$80	$3.3M
T1017	Targeted case management, each 15 minutes	44,580	$70	$3.1M
H2023	Supported employment, per 15 minutes	1,690	$80	$126.8K

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

Independence Association, Inc — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	38	80	7,300	$1,670	$30.8M
S5140	Foster care, adult; per diem	13	30	9,310	$530	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	2	70	13,340	$200	$5.1M
G9012	Other specified case management service not elsewhere classified	17	50	25,820	$80	$3M
T2017	Habilitation, residential, waiver; 15 minutes	4	30	8,960	$260	$3M
T1017	Targeted case management, each 15 minutes	7	100	4,690	$90	$1M
H2023	Supported employment, per 15 minutes	14	20	2,330	$160	$673K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Volunteers Of America Northern New England	ME	Mental Illness Community Based Residential Treatment Facility	$0	$58.2M
Mainehealth	ME	General Acute Care Hospital	$0	$40M
Pathways Of Maine, LLC	ME	Community/Behavioral Health Agency	$0	$22.3M
Bluewater Emergency Partners Of Brunswick, LLC	ME	Emergency Medicine Physician	$0	$3.8M
Pathways Of Maine, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.7M
Lawrence Bossong	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.7M
Mainehealth	ME	Multi-Specialty Clinic/Center	$0	$2.8M
Pathways Of Maine, Inc.	ME	Community/Behavioral Health Agency	$0	$2.7M
Guardian Pharmacy Of Maine, LLC	ME	Long Term Care Pharmacy	$162.2K	$2.4M
Town Of Brunswick	ME	Land Ambulance	$386.5K	$1.4M

Independence Association, Inc — Billing Profile & Reimbursement Data

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Independence Association, 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