Main Place Treatment Centers Llc.
Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers
Total spending distribution among 13 providers in this specialty
This provider's total spending of $182K is at the below 25th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.
Total Paid
$182K
$182,296
Total Claims
2,520
Beneficiaries
1,769
1.4 claims/patient
Avg Cost/Claim
$72
🔍 Analysis
Provider Overview
Main Place Treatment Centers Llc. is a Clinic/Center, Rehabilitation, Substance Use Disorder provider based in Cumberland, MD. From 2018-12 through 2019-10, this provider received $182K in Medicaid payments across 3K claims serving 2K beneficiaries, billing 4 distinct procedure codes.
Key Findings
- 📊Bills 2.0× the national median for 99213 (99213), at $74 per claim vs. the median of $38, placing them above the 90th percentile.
- 📊92% of all billing comes from a single procedure code: 99213 (99213). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.
- 📊Spending grew 12176% from $1K in 2018 to $181K in 2019.
- 📊Saw a 122.8× spike in 2019 ($1K → $181K), a sharp year-over-year increase.
- 📊Billing stopped in 2019-10, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 92% of total spending.
$168K
2,267 claims
$74.20
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$168K
2,267 claims · 92.3%
$7K
43 claims
$166.09
$84.03
Office/outpatient visit, new patient, mod-high complexity
$7K
43 claims · 3.9%
$5K
49 claims
$109.35
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$5K
49 claims · 2.9%
$2K
161 claims · 0.9%
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