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.

Central Aroostook Association (NPI 1902043839)

Field	Value
Entity Type	Organization
Organization	Central Aroostook Association
Address	25 Lombard St
City	Presque Isle
State	ME
ZIP	04769
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	January 14, 2009

Payer Source	Total Paid
Medicaid	$36.5M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-only biller: total Medicaid revenue is $36.5M and there is no Medicare billing on file. The absence of Medicare activity makes this provider’s financial footprint concentrated almost entirely within Medicaid programs rather than a mixed payer strategy.

Revenue is highly concentrated in a small set of service codes: the precomputed top three Medicaid codes (S5140, T2016, T2021) together account for 71.4% of the provider’s Medicaid revenue. Individually these codes generate $10.5M (S5140, 28.9%), $8.6M (T2016, 23.6%), and $6.9M (T2021, 18.9%) respectively, indicating reliance on a small number of high-value service lines.

The code mix signals an operational focus on foster care and habilitation services: S5140 (Foster care, adult; per diem) plus residential and day habilitation codes (T2016, T2021) dominate revenue, consistent with service delivery oriented toward long-term residential support and day habilitation programming. The provider’s taxonomy as a Local Education Agency (LEA) aligns with this mix, suggesting these Medicaid claims reflect institutional and community support services rather than acute medical care.

State-level competitive standing is mixed across top lines. For S5140 the provider ranks #22 of 31 (30th percentile) and for T2016 ranks #53 of 75 (30th percentile), both described as "typical, unremarkable volume"—this indicates modest participation in those foster-care and residential habilitation markets. By contrast T2021 is ranked #24 of 72 (68th percentile) and, while also labeled "typical, unremarkable volume," represents a relatively stronger statewide position in day habilitation.

Case management and care coordination comprise a meaningful secondary revenue stream: G9012 (Other specified case management service) accounts for $4.9M or 13.5% of Medicaid revenue with 14.6K claims and is ranked #31 of 50 (39th percentile), described as "typical, unremarkable volume." This pattern indicates integrated case management services are a substantive complement to the provider’s residential and habilitation programs.

The provider also bills wrap-around and targeted management services at modest levels statewide. H2021 (Community-based wrap-around services) contributes $2.7M (7.3%) and ranks #85 of 104 (18th percentile) while T1017 (Targeted case management) contributes $2.4M (6.6%) and ranks #49 of 104 (53th percentile); both entries are characterized as "typical, unremarkable volume," signaling participation but not dominance in these ancillary service lines.

Smaller line items exist but do not materially shift concentration: T2017 (Habilitation, residential; 15 minutes) contributes $453.8K (1.2%) and ranks #26 of 34 (24th percentile) with a "typical, unremarkable volume" label, underscoring that most Medicaid revenue flows through the top three codes rather than numerous low-value codes.

The provider has an established operational history, with its NPI enumerated on 2009-01-14 (~17 years ago), which suggests a long-tenured presence in the state Medicaid market and likely operational continuity in delivering the services reflected in the billing profile.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	2,780	$3,800	$10.5M
T2016	Habilitation, residential, waiver; per diem	3,210	$2,680	$8.6M
T2021	Day habilitation, waiver; per 15 minutes	26,850	$260	$6.9M
G9012	Other specified case management service not elsewhere classified	14,550	$340	$4.9M
H2021	Community-based wrap-around services, per 15 minutes	2,210	$1,210	$2.7M
T1017	Targeted case management, each 15 minutes	5,750	$420	$2.4M
T2017	Habilitation, residential, waiver; 15 minutes	2,400	$190	$453.8K

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

Central Aroostook Association — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	53	80	7,300	$1,670	$30.8M
S5140	Foster care, adult; per diem	22	30	9,310	$530	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	24	70	13,340	$200	$5.1M
H2021	Community-based wrap-around services, per 15 minutes	85	100	8,660	$290	$5.1M
G9012	Other specified case management service not elsewhere classified	31	50	25,820	$80	$3M
T2017	Habilitation, residential, waiver; 15 minutes	26	30	8,960	$260	$3M
T1017	Targeted case management, each 15 minutes	49	100	4,690	$90	$1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aroostook Mental Health Services, Inc.	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$53.2M
The Aroostook Medical Center	ME	General Acute Care Hospital	$0	$38.5M
Personal Services Of Aroostook	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.7M
Life By Design, PA	ME	Clinical Social Worker	$0	$9.9M
Aroostook Agency On Aging	ME	In Home Supportive Care Agency	$0	$7.9M
Discovery House Wc, Inc.	ME	Methadone Clinic	$0	$4M
Pines Health Services	ME	Federally Qualified Health Center (FQHC)	$0	$3.7M
Northern Maine Oral & Facial Surgery PA	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.5M
Dunrovin Enterprises, Inc.	ME	In Home Supportive Care Agency	$0	$3.1M
Aroostook Dental Clinic, Inc.	ME	Dental Clinic/Center	$0	$2.7M

Central Aroostook Association — Billing Profile & Reimbursement Data

Sign up for Central Aroostook Association — Billing Profile & Reimbursement Data policy alerts

Central Aroostook Association — Billing Profile & Reimbursement Data

Sign up for Central Aroostook Association — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References