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MAINEHEALTH

Community/Behavioral Health·PORTLAND, ME·NPI: 1265912067Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $115.1M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-10→2024-12(75 months)

Total Paid

$115.1M

$115,052,813

Total Claims

783K

Beneficiaries

206K

3.8 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$17.6M
-3%
2020
$17.1M
+10%
2021
$18.8M
+5%
2022
$19.8M
+17%
2023
$23.1M
-19%
2024
$18.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (T1020 (Personal care services, per diem)) accounts for 20% of total spending.

T1020Normal range

Personal care services, per diem

$22.5M

112K claims · 19.5%

Your Cost: $199.63/claim|Median: $296.27
0.7× median
H2011Normal range

Crisis intervention service, per 15 minutes

$22.2M

46K claims · 19.3%

Your Cost: $484.10/claim|Median: $215.80
2.2× median
H2010Normal range

Comprehensive medication services, per 15 min

$13.3M

102K claims · 11.5%

Your Cost: $130.43/claim|Median: $62.69
2.1× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$13.1M

165K claims · 11.4%

Your Cost: $79.32/claim|Median: $266.41
0.3× median
H0019Normal range

Behavioral health; residential, per diem

$12.7M

112K claims · 11.0%

Your Cost: $112.95/claim|Median: $357.16
0.3× median
H2021Top 25%

Community-based wrap-around services, per 15 min

$8.6M

22K claims · 7.5%

Your Cost: $398.94/claim|Median: $169.11
2.4× median
H2012Top 25%

Behavioral health day treatment, per hour

$7.6M

30K claims · 6.6%

Your Cost: $255.25/claim|Median: $137.86
1.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$6.3M

100K claims · 5.5%

Your Cost: $62.83/claim|Median: $74.63
0.8× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$3.3M

41K claims · 2.8%

Your Cost: $79.51/claim|Median: $392.63
0.2× median
H2033Top 10%

Multisystemic therapy for juveniles, per 15 minutes

$1.6M

2,388 claims · 1.4%

Your Cost: $653.13/claim|Median: $227.82
2.9× median
H0018Normal range

Behavioral health; short-term residential, per diem

$1.1M

3,075 claims · 1.0%

Your Cost: $373.01/claim|Median: $467.51
0.8× median
T2022Top 25%

Case management, per month

$592K

1,728 claims · 0.5%

Your Cost: $342.32/claim|Median: $202.77
1.7× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$524K

17K claims · 0.5%

Your Cost: $31.39/claim|Median: $53.41
0.6× median
99408Top 5%

$362K

1,764 claims · 0.3%

Your Cost: $205.24/claim|Median: $9.32
22.0× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$330K

1,764 claims · 0.3%

Your Cost: $187.09/claim|Median: $81.37
2.3× median
G9012Normal range

Other specified case management service, per 15 minutes

$315K

5,616 claims · 0.3%

Your Cost: $56.16/claim|Median: $137.85
0.4× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$173K

1,149 claims · 0.2%

Your Cost: $150.65/claim|Median: $129.75
1.2× median
92507Normal range

Speech/hearing/language treatment

$149K

3,909 claims · 0.1%

Your Cost: $38.12/claim|Median: $49.45
0.8× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$93K

2,519 claims · 0.1%

Your Cost: $37.00/claim|Median: $17.67
2.1× median
97530Normal range

Therapeutic activities, each 15 min

$89K

3,145 claims · 0.1%

Your Cost: $28.18/claim|Median: $33.11
0.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$58K

2,689 claims · 0.1%

Your Cost: $21.61/claim|Median: $37.81
0.6× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$52K

634 claims · 0.0%

Your Cost: $82.29/claim|Median: $114.71
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$33K

710 claims · 0.0%

Your Cost: $46.57/claim|Median: $74.09
0.6× median
97535Top 25%

Self-care/home management training, per 15 minutes

$29K

837 claims · 0.0%

Your Cost: $34.43/claim|Median: $18.18
1.9× median
99406Normal range

$7K

1,248 claims · 0.0%

Your Cost: $5.79/claim|Median: $6.53
0.9× median
92508Normal range

Treatment of speech/language disorder, group, 2+ patients

$6K

609 claims · 0.0%

Your Cost: $10.21/claim|Median: $13.22
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$6K

520 claims · 0.0%

Your Cost: $11.25/claim|Median: $41.28
0.3× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$5K

430 claims · 0.0%

Your Cost: $10.86/claim|Median: $12.12
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$3K

28 claims · 0.0%

Your Cost: $95.71/claim|Median: $111.09
0.9× median
99443Normal range

Telephone E/M by physician, 21-30 min

$2K

66 claims · 0.0%

Your Cost: $33.76/claim|Median: $32.55
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$379

32 claims · 0.0%

Your Cost: $11.85/claim|Median: $85.66
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$28

16 claims · 0.0%

Your Cost: $1.75/claim|Median: $9.56
0.2× median
80305Normal range

$28

748 claims · 0.0%

Your Cost: $0.04/claim|Median: $7.44
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$18

508 claims · 0.0%

Your Cost: $0.03/claim|Median: $3.67
0.0× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.96

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Sturgis, MI

$2.68B

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$2.25B

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$1.73B

County of Riverside

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City & County of San Francisco

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