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.

Bfli (NPI 1467686006)

Field	Value
Entity Type	Organization
Organization	Bfli
Address	85 Hope St
City	Rockport
State	ME
ZIP	04856
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 12, 2009

Payer Source	Total Paid
Medicaid	$39.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator: there is no Medicare billing on file and lifetime Medicaid revenue is $39.6M, indicating reliance on a single public payer for all reported federal program revenue. The absence of Medicare activity means analyses of senior-care payment patterns or cross-payer comparisons should not be applied to this entity.

Revenue for BFLI is highly concentrated in three Medicaid codes: the precomputed top 3 codes account for 100.0% of its Medicaid revenue, with S5140, T2016, and T2021 representing the entirety of reported Medicaid receipts. This concentration signals that financial performance is tightly tied to a narrow set of service lines rather than a broad mix of billable activities.

S5140 is the largest single revenue driver: 6.5K claims, $3685 avg paid/claim, $23.8M revenue (60.0% of this provider's total Medicaid revenue). This indicates the organization’s primary business is adult foster-care style per-diem residential placements and that a majority of Medicaid dollars flow through that per-diem model.

T2016 contributes a meaningful minority share: 1.4K claims, $9863 avg paid/claim, $14.2M revenue (35.8% of this provider's total Medicaid revenue). The high average paid per claim combined with the code description (habilitation, residential, waiver; per diem) suggests this provider delivers higher-intensity residential habilitation services under waiver programs alongside foster-care placements.

T2021 is a small but present revenue stream: 892 claims, $1830 avg paid/claim, $1.6M revenue (4.1% of this provider's total Medicaid revenue) and reflects day habilitation activity billed in 15-minute units. Its modest revenue share implies day habilitation is a secondary service line compared with the provider’s per-diem residential operations.

Competitive standing within the state is modest across all top codes: S5140 ranks #21 of 31 providers (33th percentile; typical, unremarkable volume for this code), T2016 ranks #63 of 75 (16th percentile; typical, unremarkable volume for this code), and T2021 ranks #67 of 72 (7th percentile; typical, unremarkable volume for this code). These ranks indicate BFLI is not a dominant statewide player for these services and generally sits at or below median volume compared with in-state peers.

From an operational-risk perspective, the business is concentrated in per-diem residential funding streams (S5140 and T2016), meaning payment policy changes or waiver rate adjustments could disproportionately affect overall revenue. Stakeholders should monitor state waiver policy and per-diem rate trends because shifts there would materially impact an organization whose top two codes drive the majority of receipts.

The provider shows long tenure in the NPI registry, enumerated on 2009-05-12 (~17 years ago), which supports interpretation of observed billing patterns as established operations rather than a short-lived or newly entered provider; this longevity may reflect stable relationships with Medicaid waiver programs and consistent delivery of residential habilitation services.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	6,450	$3,690	$23.8M
T2016	Habilitation, residential, waiver; per diem	1,440	$9,860	$14.2M
T2021	Day habilitation, waiver; per 15 minutes	890	$1,830	$1.6M

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

Bfli — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	63	80	7,300	$1,670	$30.8M
S5140	Foster care, adult; per diem	21	30	9,310	$530	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	67	70	13,340	$200	$5.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	General Acute Care Hospital	$0	$31.5M
Knox County Homeless Coalition	ME	Case Management Agency	$0	$4.5M
Mainehealth	ME	General Acute Care Hospital	$0	$4.3M
Penobscot Bay Physicians & Associates	ME	Multi-Specialty Clinic/Center	$0	$414.6K
John Mamon	ME	Diagnostic Radiology Physician	$105.3K	$194.5K
Kerry Lavigne	ME	MOHS-Micrographic Surgery Physician	$268K	$0
Robert Fisher	ME	Urology Physician	$225.8K	$0
Nancy Coyne	ME	Physical Therapist	$174.3K	$0
Eric Elton	ME	Gastroenterology Physician	$92.5K	$730
Maine Molecular Imaging, LLC	ME	Diagnostic Radiology Physician	$80.1K	$0

Bfli — Billing Profile & Reimbursement Data

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Bfli — 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