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.

Peregrine Corporation (NPI 1497810964)

Field	Value
Entity Type	Organization
Organization	Peregrine Corporation
Address	1011 Forest Avenue
City	Portland
State	ME
ZIP	04103
Taxonomy	Case Management Agency
NPI Enumerated	December 26, 2006

Payer Source	Total Paid
Medicaid	$30M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and $30M in lifetime Medicaid revenue, making its commercial/payer footprint effectively single-payer Medicaid-focused rather than a dual Medicare/Medicaid operator. The absence of Medicare activity indicates analysts should treat this profile as Medicaid-dominant when modeling payer mix or contracting exposure.

Revenue is highly concentrated in three Medicaid codes: T2021 accounts for $11.1M (37.1%), G9012 for $8.4M (28.2%), and T1020 for $4.9M (16.2%); the precomputed top-3 contribution is 81.5% of total Medicaid revenue. This concentration means a small set of service lines drives the vast majority of the provider’s Medicaid receipts, so changes to reimbursement or utilization of these codes would materially affect overall revenue.

The code mix signals a service model centered on habilitation and case management: T2021 (Day habilitation, waiver; per 15 minutes) and T2017/T2016 (residential habilitation variants) point to day and residential habilitation services, while G9012 is listed as other specified case management and T1020 is personal care services (per diem). Together these codes suggest the organization operates substantial waiver-based habilitation programs and case management/personal care operations rather than short-term medical or acute care services.

Competitive standing within the state is mixed but shows dominance in case management: G9012 ranks #1 of 50 providers in-state at the 100th percentile and is labeled an extreme outlier, indicating this provider is a major statewide supplier of that specific case management service. T2021 ranks #6 of 72 (93th percentile) and is described as notably above typical state volume, showing strong market share in day habilitation as well.

Not all lines are equally dominant: T1020 (personal care services, per diem) generates $4.9M and sits at the 50th percentile (#11 of 21) which is characterized as typical, unremarkable volume. Additional codes such as H0019 ($3.5M, 11.5%, #17 of 28, 41th percentile) and T2017 ($1.8M, 6.1%, #11 of 34, 70th percentile) provide supplementary revenue but do not change the overall concentrated profile.

Payout and service-intensity signals are visible in the per-claim averages: T2021 averages $147 paid/claim (75.7K claims), G9012 averages $51 paid/claim (165.6K claims), and T1020 averages $581 paid/claim (8.4K claims). The combination of a very high claim count for G9012 with a much higher per-claim rate for T1020 implies the provider’s revenue mix is driven by both volume-based case management and higher-priced per-diem personal care services.

The provider has a long tenure on record, with an NPI enumeration date of 2006-12-26 (~20 years ago), indicating sustained Medicaid participation over time. Given the heavy reliance on a small set of waiver and case-management codes, the provider’s financial profile appears stable but concentrated, meaning policy, waiver program, or rate changes that affect T2021, G9012, or T1020 could disproportionately impact overall Medicaid revenue.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	75,680	$150	$11.1M
G9012	Other specified case management service not elsewhere classified	165,550	$50	$8.4M
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…	8,350	$580	$4.9M
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	8,630	$400	$3.5M
T2017	Habilitation, residential, waiver; 15 minutes	15,120	$120	$1.8M
T2016	Habilitation, residential, waiver; per diem	80	$3,530	$286.1K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	610	$0	$0

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

Peregrine Corporation — 1 of 6 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	75	80	7,300	$1,670	$30.8M
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	17	30	13,990	$560	$23.9M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	14	10	61,180	$110	$9.2M
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…	11	20	8,350	$340	$9.2M
T2021	Day habilitation, waiver; per 15 minutes	6	70	13,340	$200	$5.1M
G9012	Other specified case management service not elsewhere classified	1	50	25,820	$80	$3M
T2017	Habilitation, residential, waiver; 15 minutes	11	30	8,960	$260	$3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Granite Bay Care, Inc	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$281.6M
Spurwink Services	ME	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$112.7M
Cor Health Services LLC	ME	Home Health Agency	$0	$55.9M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$52.9M
Casa, Inc.	ME	Adult Care Home Facility	$0	$50.1M
Gateway Community Services, LLC	ME	Community/Behavioral Health Agency	$0	$30.2M
Ubuntu Care	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27.3M
New England Integrated Living Support	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$22.3M
Affinity	ME	Developmentally Disabled Services Day Training Agency	$0	$9.7M
Ocean Home Care LLC	ME	Personal Care Attendant	$0	$9M

Peregrine Corporation — 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