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HEALTH AFFILIATES MAINE, LLC

Community/Behavioral Health·AUBURN, ME·NPI: 1932413556Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$61.8M

$61,814,676

Total Claims

697K

Beneficiaries

215K

3.2 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$7.7M
+11%
2019
$8.5M
-10%
2020
$7.7M
+12%
2021
$8.7M
+8%
2022
$9.4M
+9%
2023
$10.3M
-6%
2024
$9.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 57% of total spending.

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$35.1M

397K claims · 56.7%

Your Cost: $88.33/claim|Median: $74.63
1.2× median
H2015Normal range

Comprehensive community support services, per 15 min

$16.2M

180K claims · 26.3%

Your Cost: $90.30/claim|Median: $96.24
0.9× median
H2010Normal range

Comprehensive medication services, per 15 min

$4.4M

32K claims · 7.1%

Your Cost: $136.19/claim|Median: $62.69
2.2× median
T1013Top 10%

Sign language or oral interpretive services, per 15 minutes

$3.0M

38K claims · 4.8%

Your Cost: $77.47/claim|Median: $17.67
4.4× median
T1017Normal range

Targeted case management, per 15 min

$2.6M

41K claims · 4.2%

Your Cost: $63.60/claim|Median: $69.56
0.9× median
H0015Top 25%

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

$446K

2,331 claims · 0.7%

Your Cost: $191.37/claim|Median: $129.75
1.5× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$55K

775 claims · 0.1%

Your Cost: $71.16/claim|Median: $114.71
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$45K

1,970 claims · 0.1%

Your Cost: $22.96/claim|Median: $85.66
0.3× median
99214Normal range

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

$27K

1,475 claims · 0.0%

Your Cost: $18.46/claim|Median: $53.41
0.3× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$1K

131 claims · 0.0%

Your Cost: $9.63/claim|Median: $38.83
0.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$715

190 claims · 0.0%

Your Cost: $3.76/claim|Median: $32.55
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$497

16 claims · 0.0%

Your Cost: $31.08/claim|Median: $108.91
0.3× median
99213Normal range

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

$192

13 claims · 0.0%

Your Cost: $14.76/claim|Median: $37.81
0.4× median
T2022Normal range

Case management, per month

$0

2,002 claims · 0.0%

Your Cost: $0.00/claim|Median: $202.77

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Other top providers in Community/Behavioral Health

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$2.68B

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$2.25B

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$1.73B

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