Employment Specialists of Maine Inc.
Community Based Residential Treatment Facility Mental Illness
Augusta, Maine
NPI: 1356583876
Risk Tier
High
Total Paid
$84.2M
$84,193,297
Total Claims
49K
Beneficiaries
10K
Avg Cost/Claim
$1,735.73
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $2,594.16 per claim for T1020 (Personal care services, per diem), which is 8.8× the national median of $296.27.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T1020 (2 unique codes).
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024