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.

Ubuntu Care (NPI 1912426859)

Field	Value
Entity Type	Organization
Organization	Ubuntu Care
Address	33 Mcalister Farm Rd Ste 200
City	Portland
State	ME
ZIP	04103
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	September 12, 2017

Payer Source	Total Paid
Medicaid	$27.3M
Medicare	$0

Key Findings

UBUNTU CARE is effectively a single-payer Medicaid provider: it reports no Medicare billing on file and $27.3M in total Medicaid revenue, indicating its entire billed footprint in the dataset is Medicaid-driven. The absence of Medicare revenue means comparative Medicare analyses are not applicable for this entity.

Revenue is extremely concentrated in a single service line: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with one code dominating that total. That concentration indicates most financial performance depends on a narrow set of billed services.

T2016 is the dominant revenue driver, accounting for $27M and 99.1% of the provider's Medicaid revenue across 4.3K claims at $6227 avg paid/claim. Because T2016 is defined as Habilitation, residential, waiver (per diem), this pattern is consistent with an operation focused on bed-based or residential habilitation services under waiver funding rather than a broad outpatient or multi-service clinic model.

G9012 plays a very small supplementary role, generating $246.5K (0.9% of Medicaid revenue) from 474 claims at $520 avg paid/claim; this indicates the provider bills for some case management activity but that it is not a material revenue stream. The presence of G9012 suggests some coordination or administrative services are provided, but at modest scale.

Statewide competitive standing for the principal code is modest: T2016 ranks #46 of 75 providers in-state (39th percentile; typical, unremarkable volume for this code), so UBUNTU CARE is not a top statewide operator for that service. For G9012 the provider ranks #48 of 50 (4th percentile; typical, unremarkable volume for this code), indicating a very limited statewide footprint for case management relative to peers.

The provider has an NPI enumerated on 2017-09-12 (~9 years ago), denoting nearly a decade of formal enrollment; achieving $27.3M in Medicaid revenue over that period reflects meaningful scale within its focused service line despite the lack of Medicare activity. This tenure supports that the concentrated revenue pattern is an established operating model rather than a short-term anomaly.

The heavy reliance on one per-diem habilitation code creates operational and reimbursement risk: changes to waiver rules, per-diem rates, or eligibility criteria could materially affect revenue because 99.1% of Medicaid revenue flows from T2016. Conversely, the narrow service mix also represents an opportunity for targeted payer negotiations or programmatic investments tied specifically to residential habilitation capacity.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	4,340	$6,230	$27M
G9012	Other specified case management service not elsewhere classified	470	$520	$246.5K

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

Ubuntu Care — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	46	80	7,300	$1,670	$30.8M
G9012	Other specified case management service not elsewhere classified	48	50	25,820	$80	$3M

Nearby Providers

Other providers in the same ZIP code as Ubuntu Care, 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
Casa, Inc.	ME	Adult Care Home Facility	$0	$50.1M
Gateway Community Services, LLC	ME	Community/Behavioral Health Agency	$0	$30.2M
Peregrine Corporation	ME	Case Management Agency	$0	$30M
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

Ubuntu Care — Billing Profile & Reimbursement Data

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Ubuntu Care — 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