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.

Residential And Community Support Services (NPI 1699104208)

Field	Value
Entity Type	Organization
Organization	Residential And Community Support Services
Address	78a Madison St
City	North Berwick
State	ME
ZIP	03906
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 4, 2013

Payer Source	Total Paid
Medicaid	$31.1M
Medicare	$0

Key Findings

This entity is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and reports $31.1M in lifetime Medicaid revenue, so Medicaid drives its entire recorded Medicare/Medicaid footprint. The absence of Medicare billing indicates the organization’s revenue and regulatory exposure are concentrated in Medicaid programs rather than dual‑payer operations.

Medicaid revenue is highly concentrated in a single service line: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, and the listed top code T2016 accounts for $31.1M (100.0% of the provider’s Medicaid revenue). That concentration points to a narrow service mix where a very small number of service categories drive the entire Medicaid book of business.

The provider’s billed service mix and code descriptions point to a residential habilitation model. T2016 (T2016 – Habilitation, residential, waiver; per diem) is the only reported Medicaid code and is a per‑diem waiver habilitation service, indicating the organization operates as a residential/intellectual and developmental disabilities (IDD) community‑based residential treatment facility rather than an outpatient or episodic care provider. The per‑diem structure and code choice imply ongoing, bed‑based care with associated staffing and facility resource needs.

Claim volume and payment level reflect substantial per‑claim resource intensity: the T2016 line shows 4.9K claims with an average paid/claim of $6291 and total revenue of $31.1M. That average paid/claim is consistent with per‑diem residential habilitation arrangements and suggests each claim represents a material unit of service rather than a low‑cost episodic visit.

State competitive standing is modest rather than dominant: for T2016 this provider ranks #45 of 75 providers in‑state and is described as in the 41th percentile with "typical, unremarkable volume for this code." This ranking signals a middle‑tier position within Maine for residential habilitation services rather than being a leading statewide provider.

The concentrated reliance on a single Medicaid code and on Medicaid overall implies heightened business risk from Medicaid policy or rate changes. With top 3 codes representing 100.0% of Medicaid revenue and no Medicare diversification, shifts in waiver rules, per‑diem rates, or eligibility could materially affect revenue stability. Operational continuity therefore depends heavily on sustained Medicaid reimbursement for waiver residential habilitation.

The provider has an established enrollment history: its NPI was enumerated on 2013-11-04 (~13 years ago), indicating over a decade of participation in the Medicaid program. That tenure suggests operational experience in the waiver/residential space and likely existing relationships with state Medicaid administrators and care managers.

No statistical outliers toward unusually high or unusually low code usage are reported: the available label for T2016 is "typical, unremarkable volume for this code," which aligns with the provider’s middle‑rank state position and confirms the absence of anomalous billing patterns in the supplied Medicaid data.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	4,950	$6,290	$31.1M

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

Residential And Community Support Services — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	45	80	7,300	$1,670	$30.8M

Nearby Providers

Other providers in the same ZIP code as Residential And Community Support Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recovery Maine, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9.2M
North Berwick Rescue Squad	ME	Land Ambulance	$58.2K	$2.4K
Teresa Breault	ME	Family Medicine Physician	$19.7K	$0

Residential And Community Support Services — Billing Profile & Reimbursement Data

Sign up for Residential And Community Support Services — Billing Profile & Reimbursement Data policy alerts

Residential And Community Support Services — Billing Profile & Reimbursement Data

Sign up for Residential And Community Support Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References