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.

The Progress Center, Inc. (NPI 1982709507)

Field	Value
Entity Type	Organization
Organization	The Progress Center, Inc.
Address	35 Cottage Street
City	Norway
State	ME
ZIP	04268
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicaid	$30.6M
Medicare	$0

Key Findings

THE PROGRESS CENTER, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $30.6M, indicating the organization’s operations and scale are driven almost entirely by Medicaid-funded services. This payer concentration suggests financial exposure is concentrated to state Medicaid reimbursement policy and waivers.

Revenue is highly concentrated in three service lines: T2016 ($7.6M, 24.8% of Medicaid revenue), T2021 ($6.1M, 19.9%), and S5140 ($5.9M, 19.3%), which together account for 64.0% of the provider’s total Medicaid revenue. This concentration means changes to reimbursement, eligibility, or utilization in these specific codes would materially affect overall revenue.

The provider’s code mix and taxonomy (Developmentally Disabled Services Day Training Agency) align with a mix of residential habilitation, day habilitation, and adult foster care services: T2016 is habilitation residential/waiver per diem with an average paid/claim of $2869, T2021 is day habilitation/waiver per 15 minutes with an average paid/claim of $285 and 21.4K claims, and S5140 is adult foster care per diem averaging $635 per claim. High per-diem payments for T2016 combined with large volume of short-interval day habilitation claims for T2021 indicate a combined residential and high-volume day-program operating model.

Competitive standing by code is mixed within Maine: T2016 ranks #56 of 75 (26th percentile), indicating a modest in-state position for residential habilitation volume; T2021 ranks #27 of 72 (63th percentile), placing the provider above the median for day habilitation; and S5140 ranks #16 of 31 (50th percentile), a median-level participant for adult foster care. These rank/percentile positions imply the provider is not a statewide dominant player in the largest single code but has competitive footing in its day habilitation service.

Several other Medicaid codes represent meaningful complementary revenue and reflect care coordination services: G9012 generated $3.8M (12.5% of Medicaid revenue) over 61.6K claims and ranks #10 of 50 (82th percentile), H2021 generated $3.4M (11.1%) and ranks #25 of 104 (77th percentile), and T1017 generated $1.9M (6.3%) and ranks #19 of 104 (83th percentile). Although the dataset characterizes volumes for these codes as "typical, unremarkable volume for this code," their combined share further diversifies revenue away from the top three line items and demonstrates material activity in case management and wrap-around community services.

The claims and payment profile shows a mix of high-dollar per-diem services and high-volume, lower-dollar time-based services: for example T2016 averages $2869 paid/claim while T2021 averages $285 paid/claim across 21.4K claims. That mix implies revenue drivers come from both daily residential placements and intensive, time-segmented day habilitation sessions, which has operational implications for staffing, facility capacity, and billing workflows.

Given the provider’s long tenure — NPI enumerated 2006-09-14 (~20 years ago) — the organization is established in the market and likely has operational experience managing Medicaid waivers and time-based habilitation programs. Longevity combined with concentrated Medicaid revenue suggests institutional knowledge of state program requirements but also persistent exposure to Medicaid policy shifts.

The narrow payer footprint and top-code concentration (top three codes = 64.0% of Medicaid revenue) represent both operational focus and a potential business risk: payor-level changes, waiver modifications, or utilization shifts in residential habilitation, day habilitation, or adult foster care could disproportionately impact overall revenue, while the existing activity in case management and wrap-around codes offers partial diversification of service lines.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	2,640	$2,870	$7.6M
T2021	Day habilitation, waiver; per 15 minutes	21,370	$290	$6.1M
S5140	Foster care, adult; per diem	9,310	$640	$5.9M
G9012	Other specified case management service not elsewhere classified	61,570	$60	$3.8M
H2021	Community-based wrap-around services, per 15 minutes	23,650	$140	$3.4M
T1017	Targeted case management, each 15 minutes	24,050	$80	$1.9M
T2017	Habilitation, residential, waiver; 15 minutes	7,160	$160	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	8,600	$80	$696.3K

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

The Progress Center, Inc. — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	56	80	7,300	$1,670	$30.8M
S5140	Foster care, adult; per diem	16	30	9,310	$530	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	27	70	13,340	$200	$5.1M
H2021	Community-based wrap-around services, per 15 minutes	25	100	8,660	$290	$5.1M
G9012	Other specified case management service not elsewhere classified	10	50	25,820	$80	$3M
T2017	Habilitation, residential, waiver; 15 minutes	20	30	8,960	$260	$3M
T1017	Targeted case management, each 15 minutes	19	100	4,690	$90	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	48	290	860	$80	$805.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Communities, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$46.5M
Bridge To Success	ME	Case Management Agency	$0	$10.6M
O.t. To Play	ME	Occupational Therapist	$0	$10.5M
Mainehealth	ME	Rural Health Clinic/Center	$0	$10M
Mainehealth	ME	Rural Health Clinic/Center	$0	$9.8M
Mainehealth	ME	Critical Access Hospital	$0	$5M
Common Ground Counseling, LLC	ME	Counselor	$0	$3M
A Life's Compass PLLC	ME	Mental Health Counselor	$0	$2.9M
Martin Whitaker	ME	Ophthalmology Physician	$1.5M	$0
Aardvark Pediatrics LLC	ME	Pediatrics Physician	$0	$1.2M

The Progress Center, Inc. — Billing Profile & Reimbursement Data

Sign up for The Progress Center, Inc. — Billing Profile & Reimbursement Data policy alerts

The Progress Center, Inc. — Billing Profile & Reimbursement Data

Sign up for The Progress Center, Inc. — 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