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THE OPPORTUNITY ALLIANCE

Community Based Residential Treatment Facility, Mental Illness·SOUTH PORTLAND, ME·NPI: 1518193812Share

Compared to Community Based Residential Treatment Facility, Mental Illness Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $50.6M is at the 50th percentile among 5 Community Based Residential Treatment Facility, Mental Illness providers.

Active Billing Period:2018-012024-12(82 months)

Extreme procedure concentration — 75% of $50.6M billed through just 2 codes

Total Paid

$50.6M

$50,581,625

Total Claims

105K

Beneficiaries

8,044

13.1 claims/patient

Avg Cost/Claim

$481

Monthly Spending Trend

Yearly Spending

2018
$5.2M
+17%
2019
$6.1M
+44%
2020
$8.8M
-2%
2021
$8.6M
-7%
2022
$8.0M
-3%
2023
$7.7M
-18%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 75% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$38.2M

53K claims · 75.4%

Your Cost: $724.11/claim|Median: $357.16
2.0× median
T1020Normal range

Personal care services, per diem

$12.4M

52K claims · 24.6%

Your Cost: $237.06/claim|Median: $296.27
0.8× median

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