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.

Serenity Residential Care, LLC (NPI 1811473291)

Field	Value
Entity Type	Organization
Organization	Serenity Residential Care, LLC
Address	48 Atlantic Place, Building B
City	South Portland
State	ME
ZIP	04106
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	July 18, 2018

Payer Source	Total Paid
Medicaid	$34.4M
Medicare	$0

Key Findings

SERENITY RESIDENTIAL CARE, LLC has no Medicare billing on file and is effectively a single-payer Medicaid provider, with Total Medicaid revenue of $34.4M reported. The absence of Medicare activity indicates the organization’s revenue stream is concentrated entirely within Medicaid-funded services rather than split across Medicare and Medicaid.

Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and a single code, T2016, is listed with $34.4M revenue (100.0% of this provider's total Medicaid revenue). This level of concentration signals that the business is driven by a narrow set of waiver/residential habilitation services rather than a diversified procedure mix.

T2016 (Habilitation, residential, waiver; per diem) is the dominant service line for this provider, with 5.4K claims and an average paid per claim of $6362. The per-diem habilitation code profile suggests operations centered on residential waiver habilitation services — in other words, ongoing room-and-board style support delivered under waiver/residential habilitation funding rather than episodic clinical procedures.

Competitive standing within Maine is modest: SERENITY ranks #42 of 75 providers for T2016 (45th percentile), which the data labels as "typical, unremarkable volume for this code." That ranking indicates the provider is a mid-market participant in the in-state residential habilitation space rather than a statewide leader or outlier.

The claims volume (5.4K claims for T2016) combined with the $6362 average paid per claim produces the full $34.4M Medicaid revenue, showing that revenue derives from relatively high per-diem reimbursement levels rather than an exceptionally large claim count. Analysts should interpret the business model as dependent on sustained per-member per-diem payments rather than high-frequency episodic billing.

Payer-concentration risk is material: with no Medicare revenue and Medicaid comprising the entire reported lifetime revenue ($34.4M), the provider’s financial exposure is tied to Medicaid policy, waiver rates, and state-level reimbursement changes. Any shifts in state waiver policies or per-diem rates for T2016 could have an outsized impact on the organization.

The provider’s NPI was enumerated ~8 years ago, indicating it has an established operational footprint but is not among the longest-tenured firms in the market. This tenure combined with a narrow service mix suggests an operationally focused provider that has sustained a stable Medicaid-based business model over several years.

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	5,410	$6,360	$34.4M

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

Serenity Residential Care, LLC — 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	42	80	7,300	$1,670	$30.8M

Nearby Providers

Other providers in the same ZIP code as Serenity Residential Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpha One	ME	Case Management Agency	$0	$121.3M
Port Resources	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$82.9M
The Opportunity Alliance	ME	Mental Illness Community Based Residential Treatment Facility	$0	$50.6M
Community Home Health Care	ME	In Home Supportive Care Agency	$0	$40.3M
Noreast Home Care, LLC	ME	In Home Supportive Care Agency	$0	$24.7M
Center For Behavioral Health Me, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$536.2K	$20.1M
Connections For Kids	ME	Social Worker	$0	$13.8M
Vna Home Health & Hospice	ME	Home Health Agency	$227.2K	$10.4M
Standard Care, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M
Peace Residential Care LLC	ME	In Home Supportive Care Agency	$0	$7.9M

Serenity Residential Care, LLC — Billing Profile & Reimbursement Data

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Serenity Residential Care, 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

Nearby Providers

Frequently Asked Questions

References