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.

Back To Basics Behavioral Health Services, Inc. (NPI 1881832640)

Field	Value
Entity Type	Organization
Organization	Back To Basics Behavioral Health Services, Inc.
Address	44 Depot Rd
City	Lebanon
State	ME
ZIP	04027
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 31, 2009

Payer Source	Total Paid
Medicaid	$23.3M
Medicare	$0

Key Findings

BACK TO BASICS BEHAVIORAL HEALTH SERVICES, INC. is effectively a Medicaid-focused provider: there is no Medicare billing on file and total Medicaid revenue is $23.3M. This makes the organization functionally single-payer in the available claims data and means analyses of scale and risk should concentrate on Medicaid patterns rather than Medicare comparisons.

Revenue is extremely concentrated in one service line: H2021 (Community-based wrap-around services, per 15 minutes) accounts for $23.3M in revenue and represents 100.0% of the provider's total Medicaid revenue. Precomputed figures indicate the top 3 Medicaid codes collectively account for 100.0% of Medicaid revenue, underscoring near-total dependence on a very narrow set of billable codes.

The operational footprint implied by the dominant code and taxonomy is consistent with time-based, community support services: the provider’s taxonomy is Developmentally Disabled Services Day Training Agency and H2021 is billed per 15 minutes, signaling a business model focused on frequent, short-interval, community-based wrap-around care rather than episodic clinical procedures. This pattern suggests staffing and scheduling models built around high-frequency client contact and programmatic support.

Claim volume and payment metrics show high utilization intensity: the provider reported 63.4K claims for H2021 with an average paid per claim of $368. The combination of very large claim counts and a mid-range average payment per claim aligns with time-segmented billing for wrap-around services, indicating scale in the delivery of routine, repeated community supports.

Competitive standing within the state is strong for this code: the provider ranks #5 of 104 in-state for H2021 (96th percentile) and the code is labeled as notably above typical state volume. This ranking characterizes the organization as a major participant in delivering community-based wrap-around services within Maine rather than a marginal or boutique provider.

The concentration of all Medicaid revenue in a single code creates business exposure: with $23.3M coming from H2021 and the top 3 codes accounting for 100.0% of Medicaid revenue, the provider is operationally and financially dependent on continued Medicaid policy, reimbursement, and contract access for this service. Any changes to coverage, rates, or coding rules for H2021 could materially affect topline Medicaid revenue.

Tenure data indicate an established presence: the NPI was enumerated on 2009-01-31 (~17 years ago), suggesting a long operating history in the state market. This longevity, combined with a top-5 in-state ranking for H2021, implies sustained program delivery and relationships with Medicaid payers and referral sources.

From a payer/provider analyst perspective, the clear takeaways are focused monitoring and competitive benchmarking: monitor utilization and reimbursement trends for H2021, track state policy or rate-setting activity that affects community-based wrap-around services, and compare volume and payment per claim against the broader set of 104 in-state providers where this provider ranks in the 96th percentile. Given the lack of Medicare activity, benchmarking should prioritize Medicaid peer cohorts and state-level program changes.

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
H2021	Community-based wrap-around services, per 15 minutes	63,420	$370	$23.3M

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

Back To Basics Behavioral Health Services, Inc. — 1 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
H2021	Community-based wrap-around services, per 15 minutes	5	100	8,660	$290	$5.1M

Back To Basics Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Back To Basics Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Back To Basics Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Back To Basics Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References