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.

Motivational Services Inc (NPI 1609983907)

Field	Value
Entity Type	Organization
Organization	Motivational Services Inc
Address	14 Glenridge Dr
City	Augusta
State	ME
ZIP	04330
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	August 23, 2006

Payer Source	Total Paid
Medicaid	$92.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operator: there is no Medicare revenue on file while lifetime Medicaid revenue is $92.2M, indicating the organization operates as a single-payer (Medicaid) billing entity in the available data. The absence of Medicare billing suggests its services and contracts are tightly concentrated within state Medicaid programs rather than the Medicare market.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with two codes explicitly listed driving the entire reported Medicaid book of business. This concentration signals material dependency on a narrow set of service lines for overall financial performance.

H0019 is the dominant revenue driver: 177.9K claims at $446 avg paid/claim produced $79.4M in revenue, equal to 86.1% of this provider's total Medicaid revenue. The H0019 description (long-term residential behavioral health, without room and board, per diem) indicates the organization primarily delivers non-medical, long-stay residential behavioral health services at scale.

T1020 represents the second major revenue stream: 178K claims at $72 avg paid/claim generated $12.8M, or 13.9% of the provider’s Medicaid revenue, reflecting a sizeable operation in per-diem personal care services tied to individualized treatment plans. Together with H0019, these codes define the provider’s service mix as long-term behavioral residential care plus supportive personal care rather than short-term or medical inpatient services.

Competitive standing in-state is strong for both top codes: the provider ranks #2 of 28 providers in-state for H0019 (96th percentile), which positions it as a leading provider of long-term residential behavioral health in Maine but not the single largest. For T1020 the provider ranks #1 of 21 in-state (100th percentile) and is described as an extreme outlier and the state leader for personal care per-diem billing, indicating market dominance for that specific non-medical service line.

The billing scale also implies very high throughput: H0019 shows 177.9K claims and T1020 shows 178K claims, pointing to sustained, high-volume per-diem billing activity across both long-term residential and personal care lines. The similarity in claim counts across the two codes suggests parallel large caseloads rather than a small program with occasional high-dollar claims.

Organizational tenure supports operational stability: the NPI was enumerated on 2006-08-23 (~20 years ago), which aligns with a long-standing presence in the state Medicaid ecosystem and may help explain its high-volume positioning on T1020 and near-top ranking on H0019. The extended enrollment period increases the likelihood that the provider’s current footprint and referral relationships are well established.

From a risk-profile and strategic-analytics perspective, reliance on two per-diem behavioral and personal care codes creates sensitivity to Medicaid policy or rate changes for H0019 and T1020; any shifts in per-diem rates, program eligibility, or utilization management for long-term residential behavioral health and personal care could have outsized revenue impact given these codes together comprise 100.0% of reported Medicaid revenue.

Medicaid: Complete Services Breakdown

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

2 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	177,940	$450	$79.4M
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…	177,960	$70	$12.8M

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

Motivational Services Inc — 2 of 2 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

2 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	2	30	13,990	$560	$23.9M
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…	1	20	8,350	$340	$9.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainegeneral Medical Center	ME	General Acute Care Hospital	$0	$168.1M
Employment Specialists Of Maine, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$84.2M
Crisis And Counseling Centers, Inc.	ME	Mental Health Counselor	$0	$21M
Gallant Therapy Services	ME	Developmentally Disabled Services Day Training Agency	$0	$20.5M
Children's Center: Early Intervention And Family Support, Inc.	ME	Specialist	$0	$13.6M
Central Maine Area Agency On Aging	ME	In Home Supportive Care Agency	$0	$13.5M
Anglez Behavioral Health Services PA	ME	Case Management Agency	$0	$12.5M
Kennebec Pharmacy And Home Care LLC	ME	Parenteral & Enteral Nutrition Supplies (DME)	$0	$11.6M
Kennebec Home Care LLC	ME	Home Health Agency	$0	$9.6M
Central Maine Area Agency On Aging	ME	Case Management Agency	$0	$8.7M

Motivational Services Inc — Billing Profile & Reimbursement Data

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Motivational 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