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.

Woodfords Family Services (NPI 1346483435)

Field	Value
Entity Type	Organization
Organization	Woodfords Family Services
Address	15 Saunders Way
City	Westbrook
State	ME
ZIP	04092
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 20, 2009

Payer Source	Total Paid
Medicaid	$101.5M
Medicare	$0

Key Findings

WOODFORDS FAMILY SERVICES is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $101.5M in total Medicaid revenue, so all measurable federal billing activity in our data is through Medicaid rather than Medicare. This concentration means analyses of its financial footprint should focus on Medicaid program dynamics and waiver/service-rate changes rather than Medicare utilization patterns.

Revenue is highly concentrated in a very small set of Medicaid revenue drivers: the precomputed top 3 Medicaid codes account for 97.9% of this provider's total Medicaid revenue. The top contributors are S5140 ($49M, 48.3%), T2016 ($45.5M, 44.8%), and T2021 ($4.8M, 4.8%), with the next highest listed code T2017 at $2.2M (2.1%).

The code mix indicates a business model built around residential placements and habilitation services: S5140 is foster care, adult; per diem and T2016/T2017 are residential habilitation waiver services, while T2021 is day habilitation per 15 minutes. High per-claim averages for those codes (S5140 $180 avg paid/claim; T2016 $757 avg paid/claim; T2021 $140 avg; T2017 $125 avg) are consistent with facility-based per-diem and intensive residential habilitation operations rather than brief outpatient encounters.

WOODFORDS is a dominant statewide provider for adult foster care placements: S5140 ranks #1 of 31 providers in-state, at the 100th percentile and labeled an "extreme outlier, far above typical state volume for this code." That single code alone accounts for $49M (48.3%) of the provider's Medicaid revenue, indicating market-leading scale in foster-care per-diem services within Maine.

For residential habilitation under waiver rules the provider is also a major participant but not uniquely dominant: T2016 (habilitation, residential, waiver; per diem) generates $45.5M (44.8%) and ranks #5 of 75 providers in-state at the 95th percentile, described as typical/unremarkable in volume relative to the statewide set. Other habilitation lines (T2021 at $4.8M, 70th percentile; T2017 at $2.2M, 82th percentile) show presence across day and 15-minute residential habilitation units but at more modest shares.

The extreme concentration in two per‑diem codes (S5140 and T2016 together represent the vast majority of revenue) implies operational specialization in long‑term placements and residential habilitation; this structure can create sensitivity to rate changes, policy shifts in foster/waiver programs, or capacity constraints within residential settings. Payers and analysts should treat changes to per‑diem reimbursement or eligibility rules for these codes as having outsized impact on the provider's revenue profile.

WOODFORDS has an established tenure in the market (NPI enumerated 2009-04-20, ~17 years ago), which combined with $101.5M lifetime Medicaid revenue suggests it is a longstanding, sizable participant in Maine’s behavioral health/residential service ecosystem. That longevity and scale reinforce its role as a key provider for Medicaid-managed residential and foster-care services.

From a network and competitive perspective, payers should view WOODFORDS as a primary state-level resource for adult foster care placements and a significant residential habilitation provider: the S5140 dominance makes it a likely focal point for any capacity/contracting discussions around foster-care per-diem services, while the high ranking on T2016 signals strong participation in waiver-based residential habilitation programs.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	272,250	$180	$49M
T2016	Habilitation, residential, waiver; per diem	60,130	$760	$45.5M
T2021	Day habilitation, waiver; per 15 minutes	34,450	$140	$4.8M
T2017	Habilitation, residential, waiver; 15 minutes	17,310	$130	$2.2M

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

Woodfords Family Services — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	5	80	7,300	$1,670	$30.8M
S5140	Foster care, adult; per diem	1	30	9,310	$530	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	22	70	13,340	$200	$5.1M
T2017	Habilitation, residential, waiver; 15 minutes	7	30	8,960	$260	$3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creative Works	ME	Developmentally Disabled Services Day Training Agency	$0	$144.1M
Safe Residential Care, LLC	ME	Physical Disabilities Residential Treatment Facility	$0	$94.6M
3rivers, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$78.6M
Woodfords Family Services	ME	Community/Behavioral Health Agency	$0	$46.3M
Alliance Case Management	ME	Case Management Agency	$0	$17.8M
Woodfords Family Services	ME	In Home Supportive Care Agency	$0	$11.3M
Woodfords Family Services	ME	Case Management Agency	$0	$9.4M
Mas Medical Staffing Corporation	ME	Home Health Agency	$0	$8.1M
Maine Community Homecare	ME	In Home Supportive Care Agency	$0	$8.1M
Cap Quality Care, Inc.	ME	Methadone Clinic	$202.6K	$7.1M

Woodfords Family Services — Billing Profile & Reimbursement Data

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Woodfords Family Services — 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