R.I.S.E., INC.

R.I.S.E., INC. was paid $18.56M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is H2021, Community-based wrap-around services, per 15 minutes — 94% of everything it billed.

33Billing provider infoR.I.S.E., INC.
LEWISTON, ME 04240

33aNPI1053721688assigned 05/05/2014

33bProvider typeIn Home Supportive Care Agency

28Total paid$18.56M

24GClaims54,820

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other In Home Supportive Care Agency providers in Maine

Rank by total paid#9 of 70

Median peer was paid$3.30M

This provider vs. median5.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration94% of spending on code H2021 with only 2 total codes billed. Highly concentrated billing profile.

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	7,272	$2.28M
2019	10,404	$2.72M
2020	9,002	$2.61M
2021	8,243	$2.35M
2022	8,966	$2.24M
2023	8,020	$4.48M
2024incomplete	2,913	$1.87M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2021	Community-based wrap-around services, per 15 minutes	94%	39,078	2,534	$17.37M
G9007	Coordinated care fee, scheduled team conference	6.4%	15,742	1,933	$1.19M

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 officialMCAVOY, MATTHEW (CEO)