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Kennebec Valley Mental Health Center

Clinic/Center Mental Health (Including Community Mental Health Center)·Waterville, ME·NPI: 1679504864Share

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

Total spending distribution among 28 providers in this specialty

P25MedianP75P90

This provider's total spending of $143.0M is at the 25th percentile among 28 Clinic/Center Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$143.0M

$143,045,511

Total Claims

888K

Beneficiaries

383K

2.3 claims/patient

Avg Cost/Claim

$161

#768 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Kennebec Valley Mental Health Center is a Clinic/Center Mental Health (Including Community Mental Health Center) provider based in Waterville, ME. From the 2018–2024 period, this provider received $143.0M in Medicaid payments across 888K claims.

Why This Matters

This provider received $143.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,880 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 5% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.9M
+1%
2019
$20.1M
-6%
2020
$18.8M
+5%
2021
$19.8M
+5%
2022
$20.7M
+11%
2023
$23.0M
-9%
2024
$20.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 31% of total spending.

H0019Top 5%

Behavioral health; residential, per diem

$44.5M

4K claims · 31.1%

Your Cost: $10,638.07/claim|Median: $357.16
29.8× median
H2030Top 25%

Mental health clubhouse services, per 15 minutes

$28.0M

250K claims · 19.6%

Your Cost: $112.04/claim|Median: $73.58
1.5× median
H2010Normal range

Comprehensive medication services, per 15 min

$27.7M

221K claims · 19.3%

Your Cost: $125.17/claim|Median: $62.69
2.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$13.5M

174K claims · 9.4%

Your Cost: $77.58/claim|Median: $74.63
1.0× median
H2033Top 25%

Multisystemic therapy for juveniles, per 15 minutes

$6.4M

14K claims · 4.4%

Your Cost: $463.00/claim|Median: $227.82
2.0× median
T1020Top 25%

Personal care services, per diem

$5.6M

4K claims · 3.9%

Your Cost: $1,330.04/claim|Median: $296.27
4.5× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$4.8M

56K claims · 3.4%

Your Cost: $85.26/claim|Median: $392.63
0.2× median
G9012Normal range

Other specified case management service, per 15 minutes

$2.9M

41K claims · 2.1%

Your Cost: $72.14/claim|Median: $137.85
0.5× median
H2021Normal range

Community-based wrap-around services, per 15 min

$2.4M

14K claims · 1.7%

Your Cost: $171.38/claim|Median: $169.11
1.0× median
T1017Normal range

Targeted case management, per 15 min

$2.3M

35K claims · 1.6%

Your Cost: $64.57/claim|Median: $69.56
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.7M

26K claims · 1.2%

Your Cost: $64.37/claim|Median: $96.24
0.7× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$734K

7K claims · 0.5%

Your Cost: $100.94/claim|Median: $114.71
0.9× median
T2022Top 25%

Case management, per month

$655K

2K claims · 0.5%

Your Cost: $323.54/claim|Median: $202.77
1.6× median
H0047Top 25%

Alcohol and/or drug abuse, not otherwise specified

$594K

2K claims · 0.4%

Your Cost: $265.97/claim|Median: $81.37
3.3× median
99408Top 5%

$579K

2K claims · 0.4%

Your Cost: $259.26/claim|Median: $9.32
27.8× median
99214Normal range

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

$206K

15K claims · 0.1%

Your Cost: $13.46/claim|Median: $53.41
0.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$197K

3K claims · 0.1%

Your Cost: $77.57/claim|Median: $84.12
0.9× median
G9007Normal range

$181K

2K claims · 0.1%

Your Cost: $72.57/claim|Median: $43.44
1.7× median
99213Normal range

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

$85K

8K claims · 0.1%

Your Cost: $11.14/claim|Median: $37.81
0.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$53K

4K claims · 0.0%

Your Cost: $15.03/claim|Median: $32.55
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$11K

1K claims · 0.0%

Your Cost: $9.28/claim|Median: $85.66
0.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$8K

341 claims · 0.0%

Your Cost: $22.47/claim|Median: $22.44
1.0× median
T1012Top 5%

Alcohol/drug services, skills development

$6K

12 claims · 0.0%

Your Cost: $519.71/claim|Median: $40.78
12.7× median
96112Normal range

Developmental test administration

$4K

45 claims · 0.0%

Your Cost: $79.15/claim|Median: $102.95
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$799

53 claims · 0.0%

Your Cost: $15.07/claim|Median: $108.91
0.1× median
98967Normal range

$46

25 claims · 0.0%

Your Cost: $1.82/claim|Median: $18.97
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$20

13 claims · 0.0%

Your Cost: $1.51/claim|Median: $99.21
0.0× median
98968Normal range

$0

296 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.39
90785Normal range

$0

98 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.43

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Similar Providers

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

County of Orange

Santa Ana, CA

$806.7M

County of Fresno

Fresno, CA

$728.1M

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$368.4M

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$363.8M

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$363.8M

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