Is SWEETSER flagged for Medicaid fraud?

SWEETSER (NPI: 1538122445) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does SWEETSER bill Medicaid?

SWEETSER received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Mental Health (Including Community Mental Health Center) provider. Located in SACO, ME.

⚖️ Compare 🖨️ Print Report

SWEETSER

Clinic/Center, Mental Health (Including Community Mental Health Center)·SACO, ME·NPI: 1538122445Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $80.6M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$80.6M

$80,582,128

Total Claims

667K

Beneficiaries

213K

3.1 claims/patient

Avg Cost/Claim

$121

Monthly Spending Trend

Yearly Spending

2018

$12.5M

+3%

2019

$12.8M

-17%

2020

$10.6M

+6%

2021

$11.2M

-2%

2022

$11.0M

+10%

2023

$12.2M

-16%

2024

$10.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 47% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$37.8M

474K claims

$79.87

$74.63

1.1×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$37.8M

474K claims · 47.0%

Your Cost: $79.87/claim|Median: $74.63

1.1× median

H0018Behavioral health; short-term residential, per diemSee all providers →

$25.9M

53K claims

$484.24

$467.51

1.0×

Normal range

H0018Normal range

Behavioral health; short-term residential, per diem

$25.9M

53K claims · 32.1%

Your Cost: $484.24/claim|Median: $467.51

1.0× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$7.6M

47K claims

$160.38

$215.80

0.7×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$7.6M

47K claims · 9.4%

Your Cost: $160.38/claim|Median: $215.80

0.7× median

H2010Comprehensive medication services, per 15 minSee all providers →

$6.3M

41K claims

$153.67

$62.69

2.5×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$6.3M

41K claims · 7.9%

Your Cost: $153.67/claim|Median: $62.69

2.5× median

H0040Assertive community treatment, face-to-face, per 15 minutesSee all providers →

$1.9M

32K claims

$58.96

$266.41

0.2×

Normal range

H0040Normal range

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

$1.9M

32K claims · 2.4%

Your Cost: $58.96/claim|Median: $266.41

0.2× median

T1013Sign language or oral interpretive services, per 15 minutesSee all providers →

$413K

6,626 claims

$62.29

$17.67

3.5×

Top 25%

T1013Top 25%

Sign language or oral interpretive services, per 15 minutes

$413K

6,626 claims · 0.5%

Your Cost: $62.29/claim|Median: $17.67

3.5× median

96101 See all providers →

$138K

647 claims

$213.71

$196.08

1.1×

Normal range

96101Normal range

$138K

647 claims · 0.2%

Your Cost: $213.71/claim|Median: $196.08

1.1× median

H2000Comprehensive multidisciplinary evaluationSee all providers →

$121K

1,187 claims

$101.64

$114.71

0.9×

Normal range

H2000Normal range

Comprehensive multidisciplinary evaluation

$121K

1,187 claims · 0.1%

Your Cost: $101.64/claim|Median: $114.71

0.9× median

96131Psychological testing evaluation, each additional hourSee all providers →

$100K

418 claims

$240.12

$133.38

1.8×

Top 25%

96131Top 25%

Psychological testing evaluation, each additional hour

$100K

418 claims · 0.1%

Your Cost: $240.12/claim|Median: $133.38

1.8× median

90837Psychotherapy, 60 minutesSee all providers →

$99K

4,857 claims

$20.30

$85.66

0.2×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$99K

4,857 claims · 0.1%

Your Cost: $20.30/claim|Median: $85.66

0.2× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$94K

4,553 claims

$20.56

$53.41

0.4×

Normal range

99214Normal range

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

$94K

4,553 claims · 0.1%

Your Cost: $20.56/claim|Median: $53.41

0.4× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$35K

114 claims

$306.14

$129.75

2.4×

Top 10%

H0015Top 10%

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

$35K

114 claims · 0.0%

Your Cost: $306.14/claim|Median: $129.75

2.4× median

H2015Comprehensive community support services, per 15 minSee all providers →

$6K

90 claims

$65.47

$96.24

0.7×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$6K

90 claims · 0.0%

Your Cost: $65.47/claim|Median: $96.24

0.7× median

90834Psychotherapy, 45 minutesSee all providers →

$1K

95 claims

$12.58

$63.65

0.2×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$1K

95 claims · 0.0%

Your Cost: $12.58/claim|Median: $63.65

0.2× median

96130Psychological testing evaluation by professional, first hourSee all providers →

$807

15 claims

$53.81

$79.21

0.7×

Normal range

96130Normal range

Psychological testing evaluation by professional, first hour

$807

15 claims · 0.0%

Your Cost: $53.81/claim|Median: $79.21

0.7× median

99215Office/outpatient visit, high complexitySee all providers →

$265

14 claims

$18.95

$74.09

0.3×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$265

14 claims · 0.0%

Your Cost: $18.95/claim|Median: $74.09

0.3× median

T1017Targeted case management, per 15 minSee all providers →

565 claims

$0.00

$69.56

—

Normal range

T1017Normal range

Targeted case management, per 15 min

565 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.56

Other Top Providers in Maine

View all →

Granite Bay Care INC

Residential Treatment Facility Intellectual and/o

$281.7M

John F Murphy Homes Inc.

Nursing Facility/Intermediate Care Facility

$260.0M

Mainegeneral Medical Center

General Acute Care Hospital

$167.8M

Eastern Maine Medical Center

General Acute Care Hospital

$159.2M

Creative Works

Day Training Developmentally Disabled Services

$144.1M

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

← All providers All providers in Maine →How we detect fraud →