Ohi
Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities
Bangor, Maine
NPI: 1427121243
Risk Tier
High
Total Paid
$61.9M
$61,926,894
Total Claims
24K
Beneficiaries
4,742
Avg Cost/Claim
$2,529.59
Statistical Risk Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $2,559.71 per claim for T2016 (Habilitation, residential, waiver; per diem), which is 7.7× the national median of $331.94.
Consistent Billing
Monthly billing amounts show almost no natural variation (CV < 0.1).
Monthly billing coefficient of variation: 0.0902 (near-zero variation).
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