Life By Design, PA

Life By Design, PA was paid $9.91M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 58% of everything it billed.

33Billing provider infoLIFE BY DESIGN, PA
PRESQUE ISLE, ME 04769

33aNPI1053345918assigned 07/10/2006

33bProvider typeClinical Social Worker

28Total paid$9.91M

24GClaims117,711

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinical Social Worker providers in Maine

Rank by total paid#4 of 82

Median peer was paid$33K

This provider vs. median296×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	16,592	$1.38M
2019	20,686	$1.75M
2020	21,729	$1.75M
2021	19,109	$1.48M
2022	16,430	$1.32M
2023	15,276	$1.48M
2024incomplete	7,889	$755K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	58%	62,652	12,312	$5.76M
H0004	Behavioral health counseling and therapy, per 15 minutes	25%	29,779	11,649	$2.44M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	16%	19,152	4,285	$1.57M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	1.4%	6,128	2,230	$144K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGRAY, DEBORAH (CHIEF EXECUTIVE OFFICER)