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.

Woodfords Family Services (NPI 1740340132)

Field	Value
Entity Type	Organization
Organization	Woodfords Family Services
Address	15 Saunders Way Ste 700
City	Westbrook
State	ME
ZIP	04092
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$46.3M
Medicare	$0

Key Findings

WOODFORDS FAMILY SERVICES is effectively a single-payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is $46.3M. The provider's NPI was enumerated on 2006-12-08 (~20 years ago), indicating an established presence in the market.

Revenue is highly concentrated in a narrow set of service lines: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, signaling dependence on a small number of behavioral-health service types. H2021 alone represents 69.6% of Medicaid revenue, H2012 represents 29.6%, and G9007 represents 0.9%, so any changes to reimbursement or utilization for these codes would materially affect total revenue.

The code mix shows an operational focus on intensive community behavioral health services: H2021 (community-based wrap-around services, per 15 minutes) generated $32.2M from 87.5K claims at $368 avg paid/claim, and H2012 (behavioral health day treatment, per hour) generated $13.7M from 64.3K claims at $213 avg paid/claim. These volumes and the descriptions suggest the organization delivers high-volume wrap-around and day-treatment programming rather than episodic medical or physician-led services.

Competitive standing within Maine is strong for the primary service lines: WOODFORDS ranks #3 of 104 providers for H2021 (98th percentile) and #2 of 42 providers for H2012 (98th percentile), marking it as a leading statewide provider of these Medicaid-funded behavioral health services. By contrast, its G9007 activity (7.2K claims, $409.9K revenue) ranks #3 of 25 providers (92th percentile) and represents a typical, unremarkable revenue stream relative to the dominant codes.

The scale of claims activity underscores operational capacity: 87.5K claims for H2021 and 64.3K claims for H2012 indicate sustained, high-frequency service delivery likely requiring sizable care teams, scheduling infrastructure, and community-based operations to support per-15-minute and per-hour billing models. The modest revenue and claim count for G9007 (scheduled team conferences) suggest coordination fees are present but not a primary revenue driver.

From a payer-mix and risk perspective, dependence on Medicaid ($46.3M) with no Medicare revenue means the organization’s financial performance is tightly coupled to state Medicaid policy and reimbursement for community behavioral health codes. Analysts should view changes to H2021 or H2012 rates, authorization rules, or utilization management as having outsized impact on the provider relative to peers with more diversified payer mixes.

The statistical labels attached to the top codes reinforce outlier status for core services: both H2021 and H2012 are described as notably above typical state volume, which aligns with their high ranks and share of revenue and highlights WOODFORDS as an unusually large deliverer of wrap-around and day-treatment services in Maine. G9007 is characterized as typical and unremarkable, indicating care coordination fees are not driving the provider’s market footprint.

Given its ~20-year NPI tenure and concentrated Medicaid revenue base, WOODFORDS appears to be a well-established, specialized community/behavioral health agency whose strategic and operational exposure is centered on high-volume wrap-around and day-treatment Medicaid billing rather than diversified Medicare or non-Medicaid lines of business. Analysts evaluating competitiveness or vulnerability should prioritize monitoring utilization and reimbursement trends for H2021 and H2012.

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
H2021	Community-based wrap-around services, per 15 minutes	87,550	$370	$32.2M
H2012	Behavioral health day treatment, per hour	64,280	$210	$13.7M
G9007	Coordinated care fee, scheduled team conference	7,190	$60	$409.9K

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

Woodfords Family Services — 2 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
H2021	Community-based wrap-around services, per 15 minutes	3	100	8,660	$290	$5.1M
H2012	Behavioral health day treatment, per hour	2	40	13,180	$230	$5.1M
G9007	Coordinated care fee, scheduled team conference	3	30	950	$60	$258.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Woodfords Family Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Woodfords Family Services	ME	Case Management Agency	$0	$9.4M
Woodfords Family Services	ME	Community/Behavioral Health Agency	$0	$695.7K
Woodfords Family Services	ME	Early Intervention Provider Agency	$0	$444.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creative Works	ME	Developmentally Disabled Services Day Training Agency	$0	$144.1M
Woodfords Family Services	ME	Community/Behavioral Health Agency	$0	$101.5M
Safe Residential Care, LLC	ME	Physical Disabilities Residential Treatment Facility	$0	$94.6M
3rivers, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$78.6M
Alliance Case Management	ME	Case Management Agency	$0	$17.8M
Woodfords Family Services	ME	In Home Supportive Care Agency	$0	$11.3M
Mas Medical Staffing Corporation	ME	Home Health Agency	$0	$8.1M
Maine Community Homecare	ME	In Home Supportive Care Agency	$0	$8.1M
Cap Quality Care, Inc.	ME	Methadone Clinic	$202.6K	$7.1M
Easy Life LLC	ME	In Home Supportive Care Agency	$0	$5.3M

Woodfords Family Services — Billing Profile & Reimbursement Data

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Woodfords Family Services — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References