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.

Employment Specialists Of Maine, Inc. (NPI 1356583876)

Field	Value
Entity Type	Organization
Organization	Employment Specialists Of Maine, Inc.
Address	776 Riverside Dr
City	Augusta
State	ME
ZIP	04330
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	March 30, 2009

Payer Source	Total Paid
Medicaid	$84.2M
Medicare	$0

Key Findings

EMPLOYMENT SPECIALISTS OF MAINE, INC. bills almost exclusively to Medicaid and operates as a community-based residential treatment provider: its top codes are T1020 (personal care services, per diem) and H0019 (behavioral health long-term residential, per diem without room and board), which together indicate a business model focused on per-diem residential supports and longer-term non-acute behavioral health placements rather than outpatient or acute medical care. These code descriptions point to facility-based, stay-oriented service lines rather than episodic clinical interventions.

Revenue is highly concentrated within a narrow set of Medicaid codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, and the two listed codes alone account for the full $84.2M in Medicaid receipts reported. T1020 contributes $62.9M (74.7%) of Medicaid revenue and H0019 contributes $21.3M (25.3%), signaling that virtually all financial exposure is tied to these per-diem residential services.

This entity is effectively a single-payer Medicaid provider from a claims perspective: Medicare revenue is listed as none (no Medicare billing on file), while total Medicaid revenue is $84.2M, so the organization’s scale and financial performance are driven entirely by Medicaid program policy, reimbursement rates, and utilization. That payer concentration increases sensitivity to Medicaid rate or programmatic changes.

On the higher-revenue code T1020 the provider reports 24.2K claims, a $2594 avg paid/claim, and $62.9M in revenue; it ranks #5 of 21 providers in-state (80th percentile) and is described as having typical, unremarkable volume for this code. Those metrics position the provider as a relatively strong regional participant in personal care per-diem services—above median statewide volume but not a lone dominant player.

For H0019 the provider reports 24.3K claims, a $878 avg paid/claim, and $21.3M in revenue; it ranks #11 of 28 providers in-state (63th percentile) and is also labeled as typical, unremarkable volume for this code. This rank and description indicate a mid-tier standing in long-term residential behavioral-health placements within Maine rather than a market leader.

Operationally the claim counts (24.2K and 24.3K claims) combined with the per-diem nature of both T1020 and H0019 suggest sustained census-driven operations and steady day-rate billing rather than episodic care; the large difference in avg paid/claim ($2594 vs $878) points to materially different reimbursement scales or unit definitions between personal care per-diem and long-term behavioral residential per-diem services. This mix implies resource planning centered on ongoing room-and-board-adjacent supports and staffing for continuous residential care.

The provider has an established presence: its NPI was enumerated 2009-03-30 (~17 years ago), consistent with an organization that has had time to build relationships with state Medicaid payers and referral networks. That tenure likely contributes to the sizable cumulative Medicaid revenue and standing on state code rank lists.

Neither of the top Medicaid codes is flagged as an extreme statistical outlier; both are described as typical, unremarkable volume for their codes in-state. Coupled with the 100.0% revenue concentration in a small set of per-diem residential codes, this profile suggests a specialized, steady-state business that would be particularly exposed to any policy or rate adjustments affecting T1020 and H0019 reimbursement.

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
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	24,250	$2,590	$62.9M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	24,260	$880	$21.3M

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

Employment Specialists Of Maine, Inc. — 0 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
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	11	30	13,990	$560	$23.9M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	5	20	8,350	$340	$9.2M

Nearby Providers

Other providers in the same ZIP code as Employment Specialists Of Maine, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainegeneral Medical Center	ME	General Acute Care Hospital	$0	$168.1M
Motivational Services Inc	ME	Voluntary or Charitable Agency	$0	$92.2M
Crisis And Counseling Centers, Inc.	ME	Mental Health Counselor	$0	$21M
Gallant Therapy Services	ME	Developmentally Disabled Services Day Training Agency	$0	$20.5M
Children's Center: Early Intervention And Family Support, Inc.	ME	Specialist	$0	$13.6M
Central Maine Area Agency On Aging	ME	In Home Supportive Care Agency	$0	$13.5M
Anglez Behavioral Health Services PA	ME	Case Management Agency	$0	$12.5M
Kennebec Pharmacy And Home Care LLC	ME	Parenteral & Enteral Nutrition Supplies (DME)	$0	$11.6M
Kennebec Home Care LLC	ME	Home Health Agency	$0	$9.6M
Central Maine Area Agency On Aging	ME	Case Management Agency	$0	$8.7M

Employment Specialists Of Maine, Inc. — Billing Profile & Reimbursement Data

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Employment Specialists Of Maine, 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