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.

Seniorsplus (NPI 1871729616)

Field	Value
Entity Type	Organization
Organization	Seniorsplus
Address	8 Falcon Rd
City	Lewiston
State	ME
ZIP	04240
Taxonomy	Case Management Agency
NPI Enumerated	June 8, 2009

Payer Source	Total Paid
Medicaid	$74.6M
Medicare	$0

Key Findings

SENIORSPLUS is effectively a single-payer Medicaid operation: it reports no Medicare billing on file and $74.6M in lifetime Medicaid revenue. The top three Medicaid codes alone account for 79.7% of that Medicaid revenue, showing heavy reliance on a narrow set of Medicaid service lines.

The provider’s revenue mix and code set align with a case-management and home-and-community-based services model. The three largest revenue drivers—S5125 (Attendant care services), G9002 (Coordinated care fee, maintenance rate), and T2022 (Case management, per month)—point to an operation centered on attendant care, monthly case management, and coordinated-care fees rather than procedure-based clinical care.

Revenue concentration is acute: S5125 represents $41.9M (56.2% of Medicaid revenue), G9002 $9M (12.1%), and T2022 $8.5M (11.4%), which together make up the precomputed 79.7% share. This concentration indicates that changes in policy, rates, or utilization for these specific codes would disproportionately affect the provider’s financial performance.

On competitive standing for monthly case management, SENIORSPLUS is a clear statewide leader: T2022 is $8.5M in revenue with 57.6K claims and ranks #1 of 36 providers in-state (100th percentile; extreme outlier). That ranking suggests the organization operates at a scale for monthly case management services that is far above typical state volume.

The provider also leads other coordination-focused codes: T1016 (Case management, each 15 minutes) is $4.2M and ranks #1 of 8 providers in-state (100th percentile; notably above typical state volume), and G9002 is $9M and ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume). These ranks reinforce SENIORSPLUS’s dominant role in coordinated-care and case management payment streams within Maine.

There is nuance in attendant-care positioning despite large dollar volume. S5125 (Attendant care services) is the single largest revenue line at $41.9M (56.2%) and 78.6K claims, but it ranks #2 of 2 providers in-state (0th percentile; typical, unremarkable volume), indicating that although attendant care drives most of the dollars, SENIORSPLUS is not the sole statewide leader for that specific service.

The provider’s service footprint also includes home-support investments consistent with aging-in-place programs: S5165 (Home modifications) generated $3.7M (5.0%) and S5161 (Emergency response system; service fee, per month) generated $2.5M (3.4%), and both codes are listed with no state peer volume comparison available. These lines, together with S5170 (Home delivered meals) and A9279 (monitoring device revenue), point to a diversified set of home-and-community supports beyond core case management.

Operational scale is evident in claim volumes across coordination codes: G9002 shows 251.2K claims and T2022 57.6K claims, highlighting high recurring monthly billing activity that requires substantial administrative capacity. With an NPI enumerated on 2009-06-08 (~17 years ago), SENIORSPLUS appears to be a well-established Medicaid network participant with sustained presence in these high-volume care-coordination services.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	78,620	$530	$41.9M
G9002	Coordinated care fee, maintenance rate	251,170	$40	$9M
T2022	Case management, per month	57,600	$150	$8.5M
T1016	Case management, each 15 minutes	94,680	$40	$4.2M
S5165	Home modifications; per service	1,430	$2,610	$3.7M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	71,710	$40	$2.5M
T1005	Respite care services, up to 15 minutes	19,830	$100	$1.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	10,650	$90	$947.6K
S5170	Home delivered meals, including preparation; per meal	14,660	$40	$571.5K
A9279	Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified	570	$770	$442K

Showing 1–10 of 13

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

Seniorsplus — 5 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	2	10	464,750	$160	$74.7M
G9002	Coordinated care fee, maintenance rate	1	10	83,720	$40	$4.5M
S5165	Home modifications; per service	1	10	1,430	$2,610	$3.7M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	1	10	71,710	$40	$2.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	2	10	17,850	$90	$1.5M
T1016	Case management, each 15 minutes	1	10	20,670	$40	$1.3M
T2022	Case management, per month	1	40	800	$190	$780.3K
S5170	Home delivered meals, including preparation; per meal	3	10	14,660	$30	$468.5K
T1013	Sign language or oral interpretive services, per 15 minutes	6	50	740	$90	$453.3K
H2014	Skills training and development, per 15 minutes	1	10	990	$110	$437.2K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Maine Medical Center	ME	General Acute Care Hospital	$0	$76.1M
Support Solutions Inc	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$72.9M
Alternative Services-ne, Inc.	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$71.6M
St. Mary's Regional Medical Center	ME	General Acute Care Hospital	$0	$67.4M
Coastal Community Care, LLC	ME	Community/Behavioral Health Agency	$0	$24.1M
Androscoggin Home Health Services, Inc.	ME	Home Health Agency	$0	$20.6M
R.i.s.e., Inc.	ME	In Home Supportive Care Agency	$0	$18.5M
Community Clinical Services, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$17.3M
Bright Future Healthier You	ME	Case Management Agency	$0	$17.1M
Pediatric Associates Of Lewiston P.A.	ME	Pediatrics Physician	$0	$13.2M

Seniorsplus — Billing Profile & Reimbursement Data

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Seniorsplus — 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