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.

Katahdin Friends, Inc. (NPI 1821143397)

Field	Value
Entity Type	Organization
Organization	Katahdin Friends, Inc.
Address	1024 Central St
City	Millinocket
State	ME
ZIP	04462
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$35.7M
Medicare	$0

Key Findings

KATAHDIN FRIENDS, INC. is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $35.7M in lifetime Medicaid revenue, with its NPI enumerated on 2007-01-24 (~19 years ago), indicating an established presence in Maine's community/behavioral health market. This payer concentration makes Medicaid the principal and near-exclusive revenue source shown in the data.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes (T2017, T2016, S5140) account for 94.6% of the provider’s total Medicaid revenue. That concentration signals that most of the organization’s financial performance is driven by a narrow set of habilitation and foster-care service lines.

The code mix shows the provider operates primarily as a residential habilitation and foster care operator: T2017 (Habilitation, residential, waiver; 15 minutes), T2016 (Habilitation, residential, waiver; per diem), and S5140 (Foster care, adult; per diem) together dominate revenue. The presence of both 15-minute unit codes and per-diem codes suggests a blended operating model combining high-frequency, unitized habilitation services with longer-stay per-diem residential and foster-care placements.

KATAHDIN FRIENDS is a statewide dominant provider for T2017: it ranks #1 of 34 providers in-state at the 100th percentile and is labeled an extreme outlier, far above typical state volume for this code. That ranking indicates the organization is the primary provider of the residential, waiver-based 15-minute habilitation service in Maine and holds a clear competitive advantage in that specific service line.

By contrast, its position on T2016 and S5140 is less dominant: T2016 ranks #25 of 75 providers in-state (68th percentile; typical, unremarkable volume for this code), while S5140 ranks #6 of 31 (83th percentile; typical, unremarkable volume for this code). These rankings suggest that while the provider is a major player for adult foster-care per-diem (S5140) it is not an exceptional outlier for the per-diem habilitation market (T2016).

Operational and revenue risk is concentrated around those top codes: because T2017, T2016, and S5140 together comprise 94.6% of Medicaid revenue, changes in utilization, eligibility, or Medicaid payment rates for any of these three codes could materially affect overall revenue. This concentration implies limited diversification across other Medicaid service lines.

Claim-level volume and payment patterns reinforce the operational profile: T2017 has 49.9K claims with a $298 avg paid/claim for $14.9M revenue, T2016 has 13.7K claims with a $897 avg paid/claim for $12.3M revenue, and S5140 has 41.9K claims with a $159 avg paid/claim for $6.7M revenue. The mix of high-frequency, lower-unit payments (T2017, S5140) and fewer but higher-paid per-diem claims (T2016) indicates a business model balancing volume-driven habilitation units with higher-dollar residential per-diem placements.

Smaller service lines appear modest in scale: T2021 (12.3K claims, $135 avg paid/claim, $1.7M revenue) ranks #39 of 72 (46th percentile) and H2023 (1.3K claims, $192 avg paid/claim, $258.6K revenue) ranks #16 of 21 (25th percentile), each making only a minor contribution to total Medicaid revenue. These secondary codes look typical or modest relative to in-state peers and do not materially diversify the provider’s revenue base.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	49,930	$300	$14.9M
T2016	Habilitation, residential, waiver; per diem	13,660	$900	$12.3M
S5140	Foster care, adult; per diem	41,880	$160	$6.7M
T2021	Day habilitation, waiver; per 15 minutes	12,330	$140	$1.7M
H2023	Supported employment, per 15 minutes	1,350	$190	$258.6K

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

Katahdin Friends, Inc. — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	25	80	7,300	$1,670	$30.8M
S5140	Foster care, adult; per diem	6	30	9,310	$530	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	39	70	13,340	$200	$5.1M
T2017	Habilitation, residential, waiver; 15 minutes	1	30	8,960	$260	$3M
H2023	Supported employment, per 15 minutes	16	20	2,330	$160	$673K

Nearby Providers

Other providers in the same ZIP code as Katahdin Friends, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Katahdin Valley Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$10M
Millinocket Regional Hospital	ME	Critical Access Hospital	$0	$1.4M
Millinocket Regional Hospital	ME	Rural Health Clinic/Center	$0	$962.9K
Millinocket Regional Hospital	ME	Rural Health Clinic/Center	$0	$483K
Town Of Millinocket	ME	Land Ambulance	$82.7K	$107.8K
Jeremy Valentine	ME	Ophthalmology Physician	$125.3K	$0
Venkataraman Munusamy	ME	Family Medicine Physician	$101.7K	$0
Douglas Rhoda	ME	Physician Assistant	$53.2K	$0
Hannaford Bros Co LLC	ME	Community/Retail Pharmacy	$38.9K	$660
Andre Parent	ME	Physician Assistant	$7K	$0

Katahdin Friends, Inc. — Billing Profile & Reimbursement Data

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Katahdin Friends, Inc. — 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