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.

Branches, LLC (NPI 1952484990)

Field	Value
Entity Type	Organization
Organization	Branches, LLC
Address	44 Center St
City	Bangor
State	ME
ZIP	04401
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$25.4M
Medicare	$0

Key Findings

BRANCHES, LLC bills exclusively to Medicaid in the available dataset: Total Medicare revenue: none (no Medicare billing on file) while Total Medicaid revenue: $25.4M. The absence of Medicare activity indicates this entity operates effectively as a Medicaid-focused provider rather than a dual-payer provider in the claims observed. This payer concentration should frame any competitive or policy analysis of its revenue exposure.

Medicaid revenue is highly concentrated in a single service line: top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and T2016 alone represents $25.4M revenue (100.0% of this provider's total Medicaid revenue). The T2016 volume is documented as 28.2K claims with a $901 avg paid/claim, showing the provider’s Medicaid receipts are driven entirely by per-diem habilitation/residential waiver payments.

The code mix—dominated by T2016—signals a residential habilitation and waiver per-diem business model. T2016 (Habilitation, residential, waiver; per diem) is a per-diem residential habilitation payment, so operations are likely census- and occupancy-driven with recurring daily billing rather than procedure-based episodic care. This suggests facility-style supports for individuals with intellectual and/or developmental disabilities consistent with the provider taxonomy.

Competitive standing within the state is notable but characterized as typical: for T2016 the provider “ranks #10 of 75 providers in-state (88th percentile; typical, unremarkable volume for this code)”. That ranking places BRANCHES among the larger billers for this code in Maine, yet the documented descriptor cautions that its volume is not statistically exceptional compared with peers, suggesting it is a meaningful but not dominant statewide player.

The extreme concentration (100.0% of Medicaid revenue tied to T2016/top 3 codes) creates operational and reimbursement risk: any policy change, rate adjustment, or shifts in waiver eligibility affecting per-diem habilitation payments would disproportionately impact this provider’s revenue. Analysts should treat changes to waiver funding or per-diem rates as material to BRANCHES’ financial performance given the lack of revenue diversification across other Medicaid codes.

The billing pattern—28.2K claims at a $901 avg paid/claim—indicates sustained, high-volume per-diem billing rather than low-frequency, high-cost procedures. This pattern supports the interpretation of a steady census-based revenue stream that will be sensitive to occupancy levels and case-mix changes within the residential habilitation population.

Tenure in the Medicare/Medicaid enrollment system is long-standing: NPI enumerated (registered) 2006-10-23 (~20 years ago). This multi-decade presence suggests established relationships with state Medicaid programs and operational experience managing waiver and residential habilitation billing processes, which may mitigate operational risk even as revenue concentration remains high.

From a portfolio and competitive analysis perspective, BRANCHES should be treated as a specialized, Medicaid-dependent residential habilitation provider: its entire reported Medicaid revenue derives from T2016-related per-diem billing, and it reports no Medicare business. For payer or partner strategies, focus areas should include waiver program stability, occupancy management, and state-level reimbursement trends for T2016 services.

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
T2016	Habilitation, residential, waiver; per diem	28,180	$900	$25.4M

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

Branches, LLC — 0 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
T2016	Habilitation, residential, waiver; per diem	10	80	7,300	$1,670	$30.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Maine Medical Center	ME	General Acute Care Hospital	$0	$159.3M
Creative Options, LLC	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$78.7M
Mas Medical Staffing Corporation	ME	Community/Behavioral Health Agency	$0	$62.5M
Ohi	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$61.9M
Ohi	ME	Mental Illness Community Based Residential Treatment Facility	$0	$39.6M
St. Joseph Hospital	ME	General Acute Care Hospital	$0	$38.8M
Mert Enterprises, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$36.3M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$27.3M
Amicus	ME	Developmentally Disabled Services Day Training Agency	$0	$26.1M
Lifeflight Of Maine, LLC	ME	Air Ambulance	$2.4M	$19.8M

Branches, LLC — Billing Profile & Reimbursement Data

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Branches, LLC — 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