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.

Happy Haven, LLC (NPI 1447745112)

Field	Value
Entity Type	Organization
Organization	Happy Haven, LLC
Address	158 Court St Ste 13
City	Auburn
State	ME
ZIP	04210
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	June 26, 2018

Payer Source	Total Paid
Medicaid	$65.3M
Medicare	$0

Key Findings

HAPPY HAVEN, LLC is registered as an Intellectual and/or Developmental Disabilities Residential Treatment Facility and reports $65.3M in lifetime Medicaid revenue with no Medicare billing on file, making it effectively a single-payer (Medicaid) operation. This payer concentration means analyses should focus on waiver and state Medicaid policy as primary drivers of the provider's financial performance.

Revenue is extremely concentrated in a single service line: the top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and the listed top code T2016 alone is reported as generating $65.3M of Medicaid revenue. That concentration indicates the business is essentially built around residential habilitation per-diem payments rather than a diversified mix of Medicaid services.

The dominant code, T2016 (T2016 – Habilitation, residential, waiver; per diem), reflects a facility-level residential habilitation model; the claim mix and code description point to per-diem, census-driven operations typical of group homes or residential waiver placements. Operational performance for HAPPY HAVEN therefore will be closely tied to bed census, length of stay, and state waiver reimbursement policies.

Activity metrics for the principal code show 10.3K claims with a $6326 avg paid/claim for T2016, which together produce the $65.3M Medicaid revenue total. The relatively large average payment per claim combined with per-diem coding suggests each billed unit represents an extended residential payment period rather than a single brief encounter.

On competitive standing, HAPPY HAVEN’s T2016 volume ranks #33 of 75 providers in-state (57th percentile), which is characterized as typical, unremarkable volume for this code. This position makes the provider a modest, middle-market participant in Maine’s Medicaid residential habilitation market rather than a statewide leader or dominant provider.

The provider’s NPI enumeration date is 2018-06-26 (~8 years ago), indicating several years of Medicaid activity but relatively recent market entry compared with much older institutions. Given the narrow revenue base (100.0% from the top codes) and exclusive reliance on Medicaid, the provider’s financial sensitivity to state rate changes or waiver policy adjustments is heightened and should be monitored.

Because HAPPY HAVEN reports no Medicare revenue, benchmarking and competitive analyses should emphasize state Medicaid peers and waiver program performance; any strategic changes that would diversify payer mix (e.g., adding Medicare-eligible services) are not reflected in the claims history. For payer/contracting teams, the primary levers to influence this provider’s performance will be Medicaid per-diem rates, waiver eligibility rules, and management of residential census.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	10,330	$6,330	$65.3M

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

Happy Haven, LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	33	80	7,300	$1,670	$30.8M

Nearby Providers

Other providers in the same ZIP code as Happy Haven, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John F Murphy Homes, Inc.	ME	Nursing Facility/Intermediate Care Facility	$0	$260.1M
Health Affiliates Maine, LLC	ME	Community/Behavioral Health Agency	$0	$61.6M
Opportunity Enterprises, Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$47.6M
New Communities, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$26.4M
Bedard Medical Inc	ME	Durable Medical Equipment & Medical Supplies	$0	$24.6M
Personal Onsite Development	ME	Developmentally Disabled Services Day Training Agency	$0	$9M
Community Clinical Services, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$5.2M
New England Home Therapies, Inc.	ME	Oxygen Equipment & Supplies (DME)	$0	$4.2M
Maine Oral & Maxillofacial Surgery Associates, P.A.	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.5M
City Of Auburn	ME	Land Ambulance	$317.2K	$2.7M

Happy Haven, LLC — Billing Profile & Reimbursement Data

Sign up for Happy Haven, LLC — Billing Profile & Reimbursement Data policy alerts

Happy Haven, LLC — Billing Profile & Reimbursement Data

Sign up for Happy Haven, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References