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.

Goodwill Industries Of Northern New England (NPI 1588785463)

Field	Value
Entity Type	Organization
Organization	Goodwill Industries Of Northern New England
Address	75 Washington Avenue
City	Portland
State	ME
ZIP	04101
Taxonomy	Comprehensive Outpatient Rehabilitation Facility (CORF)
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$106M
Medicare	$0

Key Findings

GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND shows effectively single-payer activity: there is no Medicare billing on file while Medicaid revenue totals $106M, indicating the organization's entire reported lifetime billed activity in our dataset is concentrated in Medicaid. This payer concentration implies financial and operational dependence on Medicaid fee schedules and waiver programs rather than Medicare-covered services.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 codes account for 84.9% of the provider’s total Medicaid revenue. In particular, T2016 alone represents $71M (67.0% of Medicaid revenue), making residential habilitation per diem the dominant revenue driver for this provider.

The provider’s taxonomy (CORF) combined with the top codes suggests a service model focused on habilitation and rehabilitation rather than acute medical care. High-revenue codes T2016 (residential habilitation), T2021 (day habilitation), and multiple cognitive/behavioral assessment and therapy codes (for example 96165, 96153, 97130, G0515) indicate an operation centered on residential and day habilitation programs plus group and individual cognitive/behavioral therapy offerings.

Claim volumes underline operational scale in specific program areas: T2016 shows 35.8K claims, T2021 shows 88.6K claims, and 96165 shows 22.4K claims, matching the large revenue shares for those services. These claim counts point to high recurring utilization of day and residential habilitation services rather than sporadic, episodic encounters.

Competitive standing varies by service line within Maine. For the largest code, T2016, the provider ranks #8 of 75 (91th percentile; labeled typical, unremarkable volume), indicating a sizable but not singularly dominant position for residential habilitation; by contrast, for T2021 the provider ranks #5 of 72 (94th percentile; noted as notably above typical), showing a stronger relative market position in day habilitation.

The provider is a statewide leader on several narrow service codes: H2023 (supported employment) ranks #1 of 21 (100th percentile; extreme outlier), and 96152 and 96156 each rank #1 in their peer groups (100th percentile; notably above typical). These 100th percentile placements indicate the provider is an unusually large source of claims for supported employment and several behavioral/assessment services within the state.

Beyond the top revenue drivers, the Medicaid mix contains a range of cognitive and rehabilitation codes—examples include 96153, 97130, G0515, 96164 and 97129—showing multidisciplinary service lines (speech/communication, cognitive rehab, group and individual behavioral interventions). This breadth suggests the CORF operation integrates multiple therapy modalities and assessment services to support habilitation and community-based rehabilitation.

The provider’s NPI tenure (enumerated 2007-04-02, ~19 years ago) indicates long-standing operations in the market. Combined with concentrated Medicaid revenue, persistent high claim counts, and leadership positions on several state codes, the data portray an established, Medicaid-centric habilitation and rehabilitation provider with deep participation in waiver-funded residential, day, and supported employment services.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	35,800	$1,980	$71M
T2021	Day habilitation, waiver; per 15 minutes	88,630	$160	$13.7M
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	22,450	$230	$5.3M
96153	N/A	20,610	$210	$4.3M
T2017	Habilitation, residential, waiver; 15 minutes	16,840	$210	$3.6M
H2023	Supported employment, per 15 minutes	21,590	$80	$1.7M
T1016	Case management, each 15 minutes	30,700	$60	$1.7M
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	13,040	$100	$1.3M
G0515	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes	12,320	$90	$1.1M
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	22,320	$40	$959.5K

Showing 1–10 of 22

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

Goodwill Industries Of Northern New England — 3 of 21 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	8	80	7,300	$1,670	$30.8M
T2021	Day habilitation, waiver; per 15 minutes	5	70	13,340	$200	$5.1M
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	3	10	22,450	$200	$5M
T2017	Habilitation, residential, waiver; 15 minutes	8	30	8,960	$260	$3M
96153	N/A	2	10	4,960	$270	$2.8M
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	3	10	21,520	$100	$2.2M
T1016	Case management, each 15 minutes	4	10	20,670	$40	$1.3M
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	3	10	22,320	$40	$996K
G0515	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes	2	10	4,070	$130	$965K
H2023	Supported employment, per 15 minutes	1	20	2,330	$160	$673K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Goodwill Industries Of Northern New England, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	Community/Behavioral Health Agency	$0	$115M
Maine Vocational Associates, Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$34.3M
Catholic Charities Maine	ME	Clinical Social Worker	$0	$17.7M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.8M
Milestone Recovery	ME	Substance Abuse Rehabilitation Facility	$0	$8.8M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$7.4M
Black Bear Medical, Inc.	ME	Customized Equipment (DME)	$0	$7.4M
Usa Family Well Being Services LLC	ME	Community/Behavioral Health Agency	$0	$6.3M
City Of Portland	ME	Land Ambulance	$740.2K	$5.4M
Maine Behavioral Healthcare	ME	Community/Behavioral Health Agency	$0	$4.9M

Goodwill Industries Of Northern New England — 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