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.

Casa, Inc. (NPI 1902090285)

Field	Value
Entity Type	Organization
Organization	Casa, Inc.
Address	741 Warren Ave
City	Portland
State	ME
ZIP	04103
Taxonomy	Adult Care Home Facility
NPI Enumerated	August 30, 2007

Payer Source	Total Paid
Medicaid	$50.1M
Medicare	$0

Key Findings

CASA, INC. is effectively a Medicaid-focused Adult Care Home Facility: it has no Medicare billing on file and reports $50.1M in lifetime Medicaid revenue, indicating that Medicaid is the sole payer driving measurable claims and payments for this entity. The absence of Medicare activity shows the provider’s operations, reimbursement exposure, and competitive positioning are concentrated entirely within the Medicaid market.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 98.6% of the provider’s total Medicaid revenue, signaling that a few service lines dominate cash flow rather than a broad mix of billable activities. This concentration suggests business risk tied to reimbursement changes or utilization shifts for those specific codes.

The largest single revenue driver is T2016 (Habilitation, residential, waiver; per diem): 2.6K claims generating $28.4M, which is 56.8% of the provider’s Medicaid revenue. This indicates CASA, INC. operates primarily as a residential habilitation provider where daily per-diem rates are the central revenue model for the organization.

T2017 (Habilitation, residential, waiver; 15 minutes) is also a major source of income with 32.7K claims and $17.7M in revenue, representing 35.5% of Medicaid revenue; the provider ranks #2 of 34 statewide and is described as notably above typical state volume. This rank and percentile indicate CASA, INC. is a leading statewide provider for time-based habilitation services, suggesting high utilization of quarter-hour habilitation units compared with most in-state peers.

H2012 (Behavioral health day treatment, per hour) contributes $3.2M (6.4% of Medicaid revenue) from 10.5K claims and ranks #25 of 42 providers in-state, a middle-tier position described as typical and unremarkable. The presence of substantial H2012 billing alongside the habilitation codes implies CASA, INC. provides both residential habilitation and substantial day-treatment behavioral health services, reflecting a mixed service model focused on long-term and programmatic behavioral supports.

Smaller ancillary behavioral-health service codes such as H2021 (community-based wrap-around services) and H0004 (behavioral health counseling and therapy) together account for under 2% of Medicaid revenue, with H2021 at $377.1K (0.8%) and H0004 at $329.3K (0.7%). These lower shares and moderate-to-low statewide ranks indicate CASA, INC. relies far more on residential habilitation per-diem and unit-based habilitation than on wrap-around or routine therapy billing as revenue sources.

The provider has a long tenure in the NPI registry, enumerated around 2007-08-30 (~19 years ago), which supports conclusions about an established operational footprint in the state’s Medicaid habilitation and behavioral-health service market. This longevity combined with the high rank on T2017 suggests sustained specialization rather than a recent shift into these service lines.

From a competitive-stance perspective, CASA, INC. is a major statewide player for T2017 (97th percentile, #2 of 34) but is modest or typical on T2016 and H2012 (24th percentile on T2016, #57 of 75; 41st percentile on H2012, #25 of 42). In practical terms, the provider is a leader in time-based habilitation units while its per-diem residential volume and day-treatment activity are more typical relative to in-state peers.

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
T2016	Habilitation, residential, waiver; per diem	2,580	$11,000	$28.4M
T2017	Habilitation, residential, waiver; 15 minutes	32,750	$540	$17.7M
H2012	Behavioral health day treatment, per hour	10,460	$310	$3.2M
H2021	Community-based wrap-around services, per 15 minutes	2,450	$150	$377.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	4,390	$80	$329.3K

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

Casa, 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	57	80	7,300	$1,670	$30.8M
H2021	Community-based wrap-around services, per 15 minutes	83	100	8,660	$290	$5.1M
H2012	Behavioral health day treatment, per hour	25	40	13,180	$230	$5.1M
T2017	Habilitation, residential, waiver; 15 minutes	2	30	8,960	$260	$3M
H0004	Behavioral health counseling and therapy, per 15 minutes	82	290	860	$80	$805.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Granite Bay Care, Inc	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$281.6M
Spurwink Services	ME	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$112.7M
Cor Health Services LLC	ME	Home Health Agency	$0	$55.9M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$52.9M
Gateway Community Services, LLC	ME	Community/Behavioral Health Agency	$0	$30.2M
Peregrine Corporation	ME	Case Management Agency	$0	$30M
Ubuntu Care	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27.3M
New England Integrated Living Support	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$22.3M
Affinity	ME	Developmentally Disabled Services Day Training Agency	$0	$9.7M
Ocean Home Care LLC	ME	Personal Care Attendant	$0	$9M

Casa, Inc. — Billing Profile & Reimbursement Data

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Casa, 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