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 New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Residential Resources Of Maine (NPI 1679775456)

Field	Value
Entity Type	Organization
Organization	Residential Resources Of Maine
Address	39 Summer St
City	Keene
State	NH
ZIP	03431
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 4, 2007

Payer Source	Total Paid
Medicaid	$40.1M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file while Medicaid revenue totals $40.1M, indicating its operations are overwhelmingly supported by Medicaid rather than Medicare. Analysts should treat this entity as a Medicaid-focused residential/behavioral health operator rather than a mixed-payer provider.

Revenue concentration is extremely high: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T2016 representing $33.3M (83.2%) and S5140 representing $6.7M (16.8%), while G9012 contributes $4.7K (0.0%). This concentration means financial performance and risk are tied closely to reimbursement and utilization for a very small set of service lines.

The code mix (T2016 – Habilitation, residential, waiver; per diem, and S5140 – Foster care, adult; per diem) indicates the provider primarily operates residential habilitation and adult foster-care services. High per-diem volumes and the large average paid per claim for T2016 ($1135 avg paid/claim over 29.4K claims) point to sustained, bed-based or day-based residential programming as the core business model.

T2016 is the dominant revenue driver: 29.4K claims generated $33.3M and the provider ranks #1 of 3 in-state for this code (100th percentile; labeled as typical, unremarkable volume). Being the top-ranked vendor for T2016 in the state suggests local market importance for residential habilitation services, but the percentile and labeling imply the volume is within normal ranges for comparable providers rather than an extreme outlier.

S5140 activity is material but modest in relative standing: 13.7K claims produced $6.7M with an average paid/claim of $491, yet the provider ranks #5 of 6 in-state (20th percentile; typical, unremarkable volume). This rank indicates the organization is a modest participant in adult foster-care services statewide rather than a leading provider in that niche.

G9012 case-management billing is negligible in scale: 37 claims with $128 avg paid/claim yielded only $4.7K in revenue and the provider ranks #4 of 4 in-state (0th percentile; typical, unremarkable volume). Case management is not a meaningful revenue line for this entity and does not diversify its Medicaid revenue base.

The provider has a long tenure in the NPI registry (enumerated 2007-06-04 (~19 years ago)), which supports the view of an established, Medicaid-focused residential services operation. Given the long enrollment and concentrated Medicaid revenue, payer policy changes affecting T2016 or S5140 would likely have outsized impact on this provider's financials.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	29,360	$1,140	$33.3M
S5140	Foster care, adult; per diem	13,730	$490	$6.7M
G9012	Other specified case management service not elsewhere classified	40	$130	$4.7K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Hampshire Distribution

Residential Resources Of Maine — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	5	10	52,170	$470	$29.6M
T2016	Habilitation, residential, waiver; per diem	1	10	8,540	$1,550	$19.7M
G9012	Other specified case management service not elsewhere classified	4	10	13,300	$90	$1.6M

Nearby Providers

Other providers in the same ZIP code as Residential Resources Of Maine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monadnock Developmental Services	NH	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$184M
Monadnock Family Services	NH	Community/Behavioral Health Agency	$0	$47.8M
Live Free Recovery Services, LLC	NH	Substance Abuse Rehabilitation Facility	$0	$19.1M
Cheshire Medical Center	NH	Medicare Defined Swing Bed Hospital Unit	$0	$8.7M
Chesco	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.1M
County Of Cheshire	NH	Case Manager/Care Coordinator	$0	$7.7M
Montshire Pediatric Dentistry, PC	NH	Pediatric Dentistry	$0	$7.1M
Monadnock Collaborative	NH	Case Management Agency	$0	$5.6M
Cheshire Medical Center	NH	Family Medicine Physician	$0	$4.6M
Blake C Wullbrandt	NH	Pediatric Dentistry	$0	$3.5M

Residential Resources Of Maine — Billing Profile & Reimbursement Data

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Residential Resources Of Maine — 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