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.

Maine Vocational Associates, Inc. (NPI 1437384054)

Field	Value
Entity Type	Organization
Organization	Maine Vocational Associates, Inc.
Address	237 Oxford St
City	Portland
State	ME
ZIP	04101
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 27, 2009

Payer Source	Total Paid
Medicaid	$34.3M
Medicare	$0

Key Findings

MAINE VOCATIONAL ASSOCIATES, INC. is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $34.3M in lifetime Medicaid revenue, positioning Medicaid as the sole material payer for this entity. This single-payer footprint means changes in state Medicaid policy or waiver rules would disproportionately affect its revenue base.

Revenue concentration is high and narrowly focused: the precomputed top three Medicaid codes account for 81.9% of the provider's total Medicaid revenue, driven by T2016 ($16.3M, 47.5%), T2021 ($8.9M, 25.9%), and H2015 ($2.9M, 8.5%). That concentration indicates the business is heavily dependent on a small set of habilitation and community support reimbursement streams.

The provider’s code mix and the top-revenue codes suggest an operational model centered on residential and day habilitation plus community-based supports: T2016 (habilitation, residential, waiver; per diem) and T2021 (day habilitation, waiver; per 15 minutes) together dominate revenue, while H2015 (comprehensive community support services, per 15 minutes) supplements those services. This pattern is consistent with an organization running waiver-funded residential placements and high-volume day programs rather than a clinic-based ambulatory model.

State-level competitive standing on the two largest codes is unremarkable: T2016 ranks #22 of 75 (72th percentile; typical, unremarkable volume) and T2021 ranks #16 of 72 (79th percentile; typical, unremarkable volume), indicating solid but not dominant market positions for the provider in residential and day habilitation within the state. These ranks imply the provider is a meaningful participant but not a top-tier statewide leader on its highest-revenue services.

For other service lines, the provider shows relatively stronger placement in certain support services: H2023 (supported employment, per 15 minutes) is #5 of 21 (80th percentile; typical, unremarkable volume) and H0004 (behavioral health counseling and therapy, per 15 minutes) is #39 of 290 (87th percentile; typical, unremarkable volume). These ranks suggest the organization has competitive competency in supported employment and counseling relative to peers, even if those lines are smaller contributors to total revenue.

Several secondary habilitation/rehab codes—H2017 (psychosocial rehabilitation, per 15 minutes, $1.9M, 5.6%) and T2017 (habilitation, residential, waiver; 15 minutes, $1.6M, 4.6%)—appear as smaller but recurring revenue streams, with H2017 at #8 of 15 (50th percentile; typical, unremarkable volume) and T2017 at #16 of 34 (55th percentile; typical, unremarkable volume). This breadth suggests the provider offers a mix of day, residential, and psychosocial services across multiple billing units, though none of these secondary codes approach the revenue impact of the top two.

The high revenue concentration in a few waiver-related codes raises policy and payer-mix risk: because T2016 and T2021 drive a combined majority of Medicaid revenue, service reductions, rate changes, or waiver redesigns affecting those codes could materially reduce revenue. With no Medicare diversification and $34.3M tied to Medicaid, the provider’s financial exposure is concentrated in state-managed waiver and community habilitation funding streams.

The entity has a long tenure in the NPI file, enumerated 2009-05-27 (~17 years ago), indicating an established presence in the state market. Coupled with the observed ‘‘typical, unremarkable’’ percentile labels across most codes and the absence of any labeled statistical outlier, the pattern points to a stable, established provider footprint rather than an outlier or a rapidly expanding/contracting specialist.

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	15,890	$1,020	$16.3M
T2021	Day habilitation, waiver; per 15 minutes	43,120	$210	$8.9M
H2015	Comprehensive community support services, per 15 minutes	25,750	$110	$2.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	16,420	$120	$1.9M
T2017	Habilitation, residential, waiver; 15 minutes	9,570	$170	$1.6M
H2023	Supported employment, per 15 minutes	4,640	$330	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	14,580	$80	$1.2M

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

Maine Vocational Associates, Inc. — 0 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	22	80	7,300	$1,670	$30.8M
T2021	Day habilitation, waiver; per 15 minutes	16	70	13,340	$200	$5.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	8	20	16,420	$120	$3.6M
T2017	Habilitation, residential, waiver; 15 minutes	16	30	8,960	$260	$3M
H2015	Comprehensive community support services, per 15 minutes	19	70	7,120	$100	$1.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	39	290	860	$80	$805.1K
H2023	Supported employment, per 15 minutes	5	20	2,330	$160	$673K

Nearby Providers

Other providers in the same ZIP code as Maine Vocational Associates, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	Community/Behavioral Health Agency	$0	$115M
Goodwill Industries Of Northern New England	ME	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$106M
Catholic Charities Maine	ME	Clinical Social Worker	$0	$17.7M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.8M
Milestone Recovery	ME	Substance Abuse Rehabilitation Facility	$0	$8.8M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$7.4M
Black Bear Medical, Inc.	ME	Customized Equipment (DME)	$0	$7.4M
Usa Family Well Being Services LLC	ME	Community/Behavioral Health Agency	$0	$6.3M
City Of Portland	ME	Land Ambulance	$740.2K	$5.4M
Maine Behavioral Healthcare	ME	Community/Behavioral Health Agency	$0	$4.9M

Maine Vocational Associates, Inc. — Billing Profile & Reimbursement Data

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Maine Vocational Associates, 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