Maine General Community Care

Maine General Community Care was paid $11.43M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is H0040, Assertive community treatment program, per diem — 100% of everything it billed.

33Billing provider infoMAINE GENERAL COMMUNITY CARE
WATERVILLE, ME 04901

33aNPI1073674016assigned 12/13/2006

33bProvider typeCase Management Agency

28Total paid$11.43M

24GClaims121,716

24DCodes billed1

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Maine

Rank by total paid#16 of 79

Median peer was paid$1.77M

This provider vs. median6.5×

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 Concentration100% of spending on code H0040 with only 1 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	22,116	$1.29M
2019	22,132	$1.29M
2020	23,942	$1.40M
2021	22,339	$1.31M
2022	21,305	$1.29M
2023	4,936	$2.40M
2024incomplete	4,946	$2.46M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0040	Assertive community treatment program, per diem	100%	121,716	8,114	$11.43M

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 officialVICTORY, ANGELA (DIRECTOR OF REVENUE CYCLE)