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.

Living Innovations Support Services LLC (NPI 1689811465)

Field	Value
Entity Type	Organization
Organization	Living Innovations Support Services LLC
Address	1059 Meadow Rd
City	Casco
State	ME
ZIP	04015
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 15, 2009

Payer Source	Total Paid
Medicaid	$67.8M
Medicare	$0

Key Findings

This entity is effectively a single-payer Medicaid provider: total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $67.8M, indicating all reported public payer activity is driven by Medicaid. Analysts should treat this profile as Medicaid-centric rather than mixed-payer when benchmarking or modeling reimbursement exposure.

Revenue is highly concentrated in a tiny set of service lines: the precomputed top 3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, with S5140 alone representing $50.2M (74.0% of total). That concentration signals material dependency on a single service category for the provider's financial performance and creates potential revenue risk if utilization or reimbursement policies for that code change.

Code-level operations point to a residential and day habilitation model: S5140 (Foster care, adult; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) together drive the vast majority of revenue, consistent with the provider taxonomy Developmentally Disabled Services Day Training Agency. The average paid amounts and claim volumes — S5140: 55.8K claims at $900 avg paid/claim and T2021: 61.5K claims at $280 avg paid/claim — suggest a mix of per-diem residential/foster placements and high-volume day habilitation services delivered in frequent short units.

Competitive standing on the dominant code is strong by rank but described as routine by the comparison label: S5140 generates $50.2M and ranks #3 of 31 providers in-state (93th percentile; typical, unremarkable volume for this code). In plain terms, the provider is one of the larger in-state billers for foster-care adult per diems by rank, yet the dataset characterizes its volume as within typical bounds for that peer set, so its position is important but not an extreme outlier.

T2021 and H2023 show different scale and marketplace roles: T2021 contributes $17.2M (25.4% of Medicaid revenue) with 61.5K claims and ranks #10 of 72 in-state (87th percentile; typical, unremarkable volume), indicating a significant but not dominant day habilitation footprint. H2023 (Supported employment) is marginal in scale at $423.8K (0.6% of revenue) across 3.9K claims at $110 avg paid/claim and ranks #8 of 21 (65th percentile; typical, unremarkable volume), implying supported employment is a minor complement to the provider’s core residential/day habilitation business.

Operational tenure supports stability: the NPI was enumerated 2009-01-15 (~17 years ago), indicating the organization has been operating and billing under its current identifier for well over a decade. That length of presence combined with large Medicaid receipts suggests established contracts and service relationships within the state Medicaid system.

For payer contracting and network planning, this profile reads as a specialized, high-volume Medicaid-contracted DD services agency where cost and access metrics will be dominated by S5140 and T2021 line items. Given that S5140 and T2021 together comprise the overwhelming majority of revenue (74.0% and 25.4% respectively), payers should prioritize oversight, rate-setting, and utilization management efforts around those two codes when assessing financial and access impacts tied to this provider.

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
S5140	Foster care, adult; per diem	55,770	$900	$50.2M
T2021	Day habilitation, waiver; per 15 minutes	61,500	$280	$17.2M
H2023	Supported employment, per 15 minutes	3,850	$110	$423.8K

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

Living Innovations Support Services LLC — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	3	30	9,310	$530	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	10	70	13,340	$200	$5.1M
H2023	Supported employment, per 15 minutes	8	20	2,330	$160	$673K

Living Innovations Support Services LLC — Billing Profile & Reimbursement Data

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Living Innovations Support Services LLC — 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

Frequently Asked Questions

References