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.

Community Health And Counseling Services (NPI 1457415184)

Field	Value
Entity Type	Organization
Organization	Community Health And Counseling Services
Address	42 Cedar St
City	Bangor
State	ME
ZIP	04402
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	December 20, 2006

Payer Source	Total Paid
Medicaid	$79.6M
Medicare	$0

Key Findings

This provider is effectively single-payer Medicaid focused: there is no Medicare billing on file while lifetime Medicaid revenue totals $79.6M, indicating operations and reimbursements are concentrated in the Medicaid program rather than Medicare reimbursement streams. The absence of Medicare activity suggests the organization primarily serves populations eligible for Medicaid or operates service lines that Medicaid funds more commonly than Medicare.

Revenue concentration is high and driven by a small set of residential and personal-care behavioral codes: the top three Medicaid codes H0019, T1020, and H0018 together account for 67.8% of the provider’s Medicaid revenue, showing a heavy reliance on long-term residential, personal care, and short-term residential behavioral health per-diem services. This concentration implies that a majority of the organization’s financial performance is dependent on these residential and per-diem care models.

Service-line profile: the dominant codes H0019 (long-term residential), H0018 (short-term residential), and T1020 (personal care services, per diem) indicate the provider operates substantial residential treatment capacity and delivers personalized, plan-based care in a non-hospital setting. High volumes in these per-diem residential codes, combined with material day treatment (H2012) and psychosocial rehabilitation (H2018), point to a vertically oriented behavioral health operation that provides both residential stays and community-based rehabilitation and case management.

Competitive standing on key Medicaid codes is mixed but includes leadership in psychosocial rehabilitation: the provider ranks #1 of 8 statewide for H2018 (psychosocial rehabilitation services), indicating it is a statewide leader for that service line. For H0018 (short-term residential) it ranks #2 of 10 (89th percentile), showing above-typical statewide volume, while for H0019 and T1020 it sits near mid-pack (H0019: #10 of 28, 67th percentile; T1020: #10 of 21, 55th percentile), meaning it is a typical but not dominant participant for the largest single revenue sources.

Operational scale and throughput: large claim counts reported for several per-diem codes underline high throughput in residential/day-program operations — examples include 27.9K claims for H0019, 17.8K for H0018, 26.7K for H2012, and 64.8K for H2018. These volumes, together with material average paid-per-claim amounts (for example $1138 for H0019 and $1617 for T1020), explain how a relatively concentrated code mix generates $79.6M in Medicaid revenue and imply substantial bed-days and program hours delivered.

Tenure and market presence: the provider’s NPI has been enumerated since 2006-12-20 (~20 years ago), indicating long-term establishment in the market which supports its ability to scale residential and community behavioral services over time. This tenure, combined with leadership on H2018 and strong placement in other residential codes, suggests established referral relationships and operational experience in Maine’s behavioral health network.

Service-line diversification beyond residential care is present but secondary: while residential and personal-care codes dominate revenue, the provider also reports material activity in day treatment (H2012, $7.3M, 9.1% of Medicaid revenue), assertive community treatment (H0040, $4.8M, 6.1%), crisis intervention (H2011, $3.9M, 4.8%), and counseling (H0004, $2.9M, 3.6%). This mix indicates the organization augments residential stays with community-based, crisis, and rehabilitative services rather than relying exclusively on inpatient-type placements.

Risk concentration and business implications: reliance on a small set of high-revenue per-diem codes means payer policy changes, rate adjustments, or capacity constraints in residential treatment could materially affect this provider’s revenue base because the top three codes comprise 67.8% of Medicaid revenue. Strategic focus on diversifying non-per-diem service lines or expanding higher-ranked community-treatment offerings could reduce exposure to rate or utilization shifts tied to residential reimbursement.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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	27,850	$1,140	$31.7M
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…	8,400	$1,620	$13.6M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	17,800	$490	$8.7M
H2012	Behavioral health day treatment, per hour	26,670	$270	$7.3M
H2018	Psychosocial rehabilitation services, per diem	64,810	$80	$5.4M
H0040	Assertive community treatment program, per diem	48,840	$100	$4.8M
H2011	Crisis intervention service, per 15 minutes	8,510	$450	$3.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	34,610	$80	$2.9M
T1017	Targeted case management, each 15 minutes	9,130	$80	$693.8K
H2010	Comprehensive medication services, per 15 minutes	2,900	$120	$344.7K

Showing 1–10 of 13

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

Community Health And Counseling Services — 1 of 13 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

13 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	10	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…	10	20	8,350	$340	$9.2M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2	10	5,380	$590	$6.3M
H0040	Assertive community treatment program, per diem	5	10	48,840	$80	$5.6M
H2012	Behavioral health day treatment, per hour	14	40	13,180	$230	$5.1M
H2011	Crisis intervention service, per 15 minutes	6	10	7,180	$310	$4.7M
H2018	Psychosocial rehabilitation services, per diem	1	10	28,460	$110	$3.3M
H2015	Comprehensive community support services, per 15 minutes	42	70	7,120	$100	$1.7M
H2010	Comprehensive medication services, per 15 minutes	26	50	3,690	$130	$1.6M
T1017	Targeted case management, each 15 minutes	39	100	4,690	$90	$1M

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Health And Counseling Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health And Counseling Services	ME	Home Health Agency	$0	$1.5M
Michelle Lacombe	ME	Psychiatric/Mental Health Nurse Practitioner	$4.2K	$0

Nearby Providers

Other providers in the same ZIP code as Community Health And Counseling Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Penobscot Community Health Center	ME	Clinical Medical Laboratory	$0	$768.5K
Scott Thomas	ME	Emergency Medicine Physician	$44.3K	$0

Community Health And Counseling Services — Billing Profile & Reimbursement Data

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Community Health And Counseling Services — Billing Profile & Reimbursement Data

Sign up for Community Health And Counseling Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References