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.

Volunteers Of America Northern New England (NPI 1922249846)

Field	Value
Entity Type	Organization
Organization	Volunteers Of America Northern New England
Address	14 Maine Street
City	Brunswick
State	ME
ZIP	04011
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	March 24, 2009

Payer Source	Total Paid
Medicaid	$58.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused residential behavioral health operator: it reported no Medicare revenue and $58.2M in lifetime Medicaid revenue, indicating its business is structured around Medicaid-funded services rather than Medicare-eligible populations. The taxonomy (Mental Illness Community Based Residential Treatment Facility) and the dominant procedure codes (see H0019 and T1020) align with long-term, non-acute residential behavioral health care and associated personal care services.

Revenue concentration is extremely high and focused: the top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with H0019 alone representing $45.2M (77.6% of Medicaid revenue) and T1020 contributing $13M (22.4%). This concentration shows nearly all of the organization’s billed Medicaid activity derives from a narrow set of per-diem residential and personal care services.

Service-line implications from the code mix: H0019 (long-term residential behavioral health, per diem) as the primary revenue driver indicates the facility provides extended stays in a residential treatment program where services are provided outside an inpatient medical model, while T1020 (personal care services, per diem) suggests bundled daily support services are also a substantial component of care. Together these codes imply the provider operates a long-stay, community-based residential program with integrated daily personal care rather than episodic clinic or hospital services.

Competitive standing within the state is modest-to-typical for the largest revenue code: for H0019 the provider ranks #14 of 28 in-state and sits at the 52th percentile, which the data labels as typical or unremarkable volume for this code. For T1020 the provider ranks #8 of 21 and sits at the 65th percentile, again described as typical volume. These rankings indicate the organization is not a dominant statewide leader for these services but is an established mid-tier participant.

Payer mix characterization: because there is no Medicare billing on file, the provider is effectively single-payer in practice with Medicaid accounting for 100% of recorded government revenue ($58.2M). Analysts should treat financial and utilization trends as Medicaid-driven and not generalize to Medicare populations.

Operational scale and tenure: the NPI was enumerated on 2009-03-24 (~17 years ago), indicating long-standing participation in the provider market and likely operational stability. The sustained lifetime Medicaid revenue of $58.2M paired with many thousands of per-diem claims (15.8K H0019 and 15.7K T1020) suggests an ongoing, steady census-based residential operation rather than a recent or transient program.

Risk and concentration considerations for payers and analysts: the revenue reliance on per-diem residential and personal-care codes (H0019 and T1020 together comprise 100.0% of Medicaid revenue) creates a concentrated exposure to rate changes, policy shifts, or utilization management for those specific codes. Any Medicaid policy adjustments to long-term residential or personal care reimbursement would have an outsized impact on the provider’s revenue stream.

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
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	15,770	$2,860	$45.2M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	15,740	$830	$13M

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

Volunteers Of America Northern New England — 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
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	14	30	13,990	$560	$23.9M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	8	20	8,350	$340	$9.2M

Nearby Providers

Other providers in the same ZIP code as Volunteers Of America Northern New England, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independence Association, Inc	ME	Developmentally Disabled Services Day Training Agency	$0	$57.9M
Mainehealth	ME	General Acute Care Hospital	$0	$40M
Pathways Of Maine, LLC	ME	Community/Behavioral Health Agency	$0	$22.3M
Bluewater Emergency Partners Of Brunswick, LLC	ME	Emergency Medicine Physician	$0	$3.8M
Pathways Of Maine, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.7M
Lawrence Bossong	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.7M
Mainehealth	ME	Multi-Specialty Clinic/Center	$0	$2.8M
Pathways Of Maine, Inc.	ME	Community/Behavioral Health Agency	$0	$2.7M
Guardian Pharmacy Of Maine, LLC	ME	Long Term Care Pharmacy	$162.2K	$2.4M
Town Of Brunswick	ME	Land Ambulance	$386.5K	$1.4M

Volunteers Of America Northern New England — Billing Profile & Reimbursement Data

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Volunteers Of America Northern New England — 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