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.

Robin E Boggs (NPI 1487883179)

Field	Value
Entity Type	Organization
Organization	Robin E Boggs
Address	349 North Pond Road
City	Warren
State	ME
ZIP	04864
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 2, 2009

Payer Source	Total Paid
Medicaid	$28.8M
Medicare	$0

Key Findings

ROBIN E BOGGS’s Medicaid billing is concentrated in residential habilitation services: the top revenue code on file is T2016 (Habilitation, residential, waiver; per diem), which by description points to residential/waiver habilitation operations rather than outpatient or procedure-based care. This code mix is consistent with a community/behavioral health agency operating per-diem residential supports.

Revenue is highly concentrated: the precomputed top-3 share shows the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and the available data indicates T2016 alone accounts for the entirety of the reported Medicaid revenue. The provider reports $28.8M in total Medicaid revenue with 2.9K claims for T2016 at a reported $9861 avg paid/claim, demonstrating that revenue flows are driven almost exclusively by this single service line.

Payer mix is effectively single-payer: there is no Medicare billing on file for this NPI, so Medicaid ($28.8M) constitutes the provider’s entire reported government-payer footprint. Because Medicare revenue is absent, comparisons of scale across payers are not possible and the organization should be considered Medicaid-dependent based on the available claims.

Competitive standing in-state on the primary code is modest: T2016 activity for this provider ranks #54 of 75 providers in Maine (28th percentile), which the data labels as a "typical, unremarkable volume for this code." That ranking positions the provider as neither a statewide leader nor an outlier; it operates at a mid-to-lower tier of in-state volume for residential habilitation per diem billing.

Although per-claim payments for T2016 are high at a reported $9861 avg paid/claim, the dataset characterizes the provider’s volume for this code as typical rather than notably above or below peers. The combination of a high avg paid/claim and typical volume implies the provider’s overall Medicaid revenue scale is driven more by service intensity/value per placement than by an unusually large census of claims.

Tenure: the NPI has been enumerated since 2009-07-02 (~17 years ago), indicating an established operational presence in the market. This longevity suggests the provider has sustained relationships with state Medicaid programs over time, which can be relevant when assessing contracting or program continuity.

The exclusive reliance on a single Medicaid per-diem code (T2016) and on Medicaid as the sole government payer creates concentration exposure: operational or reimbursement changes to residential habilitation waiver rates or eligibility could materially affect the provider’s revenue given that 100.0% of reported Medicaid revenue stems from the top codes. Analysts should treat future reimbursement policy shifts or waiver enrollment changes as key sensitivities for the entity’s financial profile.

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	2,920	$9,860	$28.8M

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

Robin E Boggs — 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	54	80	7,300	$1,670	$30.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rsu 40	ME	Case Management Agency	$0	$757.6K

Robin E Boggs — Billing Profile & Reimbursement Data

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Robin E Boggs — 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