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.

Aroostook Mental Health Services, Inc. (NPI 1487601399)

Field	Value
Entity Type	Organization
Organization	Aroostook Mental Health Services, Inc.
Address	180 Academy St Ste 2
City	Presque Isle
State	ME
ZIP	04769
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$53.2M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-focused organization: there is no Medicare billing on file while total Medicaid revenue is $53.2M, indicating near-exclusive reliance on Medicaid reimbursement for its billed services. Analysts should treat this entity as a single-payer (Medicaid) provider when modeling revenue risk and payer-concentration exposure.

Revenue is highly concentrated in a small set of residential and crisis codes: the top three Medicaid codes (H0019, H0018, H2011) account for 76.6% of the provider’s Medicaid revenue. That concentration signals that a majority of dollars flow from per‑diem residential and crisis-intervention services rather than a broad mix of outpatient encounters.

The service mix and code descriptions indicate the organization operates significant residential treatment capacity supplemented by crisis and medication services. H0019 (long-term residential) accounts for $21.9M and 12.2K claims (avg paid $1796/claim), H0018 (short-term residential) accounts for $11.5M and 7.7K claims (avg paid $1501/claim), and H2011 (crisis intervention) contributes $7.3M across 17.2K claims (avg paid $424/claim), consistent with an operation centered on institutional residential care with integrated crisis response.

State competitive standing for the top revenue drivers is modest rather than dominant: H0019 ranks #15 of 28 providers (48th percentile), H0018 ranks #5 of 10 (56th percentile), and H2011 ranks #5 of 13 (67th percentile), all labeled as typical or unremarkable volumes. These ranks suggest the provider is a meaningful but not market-leading residential/care provider in Maine; it is neither an extreme outlier nor the top statewide incumbent for these codes.

Several non-residential codes show unusually high relative volume compared to peers, highlighting complementary service strengths: H0004 (behavioral health counseling) has 65.6K claims and $3.9M revenue and ranks in the 98th percentile, and H2010 (comprehensive medication services) has 21K claims and $2.3M revenue and ranks in the 92nd percentile. Additionally, T1041 and T1007 both rank #2 of 10 (89th percentile), indicating the provider is comparatively active in Medicaid-certified community behavioral health clinic services and treatment-plan activities.

The claims-versus-revenue profile underscores per‑diem economics: H0019 generates $21.9M from 12.2K claims with an avg paid $1796/claim, whereas H0004 produces $3.9M from 65.6K claims at an avg paid $60/claim. This contrast shows the provider’s revenue is driven by higher-dollar residential per‑diems while counseling and other high-frequency services contribute materially to utilization but much less to total dollars.

The provider’s NPI has been enumerated since 2006-05-27 (~20 years ago), indicating long tenure in the market and likely established referral relationships and program infrastructure for residential and crisis services. Tenure supports interpretation of the current code mix as an operational choice rather than a short-term or startup pattern.

The organization bills a wide but low-revenue set of outpatient and assessment codes, suggesting limited reliance on office-based E/M and psychotherapy revenue: for example, 90837 shows 1.4K claims for $31.3K (avg paid $23/claim) and 99213 shows 547 claims for $9.8K (avg paid $18/claim). These low-dollar outpatient lines are typical in behavioral health centers that concentrate revenue in per‑diem residential programming rather than office E/M services.

Medicaid: Complete Services Breakdown

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

24 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	12,200	$1,800	$21.9M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	7,680	$1,500	$11.5M
H2011	Crisis intervention service, per 15 minutes	17,220	$420	$7.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	65,650	$60	$3.9M
H2036	Alcohol and/or other drug treatment program, per diem	3,200	$1,210	$3.9M
H2010	Comprehensive medication services, per 15 minutes	20,980	$110	$2.3M
T2022	Case management, per month	1,360	$380	$513.9K
T2021	Day habilitation, waiver; per 15 minutes	2,010	$210	$430.6K
T1041	Medicaid certified community behavioral health clinic services, per month	880	$380	$333.3K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	1,420	$170	$247.3K

Showing 1–10 of 24

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

Aroostook Mental Health Services, Inc. — 1 of 24 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

24 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	15	30	13,990	$560	$23.9M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5	10	5,380	$590	$6.3M
T2021	Day habilitation, waiver; per 15 minutes	63	70	13,340	$200	$5.1M
H2011	Crisis intervention service, per 15 minutes	5	10	7,180	$310	$4.7M
H2036	Alcohol and/or other drug treatment program, per diem	4	10	2,780	$740	$3.6M
96153	N/A	5	10	4,960	$270	$2.8M
H2010	Comprehensive medication services, per 15 minutes	5	50	3,690	$130	$1.6M
T1017	Targeted case management, each 15 minutes	70	100	4,690	$90	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	7	290	860	$80	$805.1K
T2022	Case management, per month	13	40	800	$190	$780.3K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Aroostook Mental Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Aroostook Medical Center	ME	General Acute Care Hospital	$0	$38.5M
Central Aroostook Association	ME	Local Education Agency (LEA)	$0	$36.5M
Personal Services Of Aroostook	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.7M
Life By Design, PA	ME	Clinical Social Worker	$0	$9.9M
Aroostook Agency On Aging	ME	In Home Supportive Care Agency	$0	$7.9M
Discovery House Wc, Inc.	ME	Methadone Clinic	$0	$4M
Pines Health Services	ME	Federally Qualified Health Center (FQHC)	$0	$3.7M
Northern Maine Oral & Facial Surgery PA	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.5M
Dunrovin Enterprises, Inc.	ME	In Home Supportive Care Agency	$0	$3.1M
Aroostook Dental Clinic, Inc.	ME	Dental Clinic/Center	$0	$2.7M

Aroostook Mental Health Services, Inc. — Billing Profile & Reimbursement Data

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Aroostook Mental Health Services, 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