Agency
Town of Winthrop
Town of Winthrop was paid $260K by Medicaid between Jan 2018 and May 2022, across 4 billing codes. Its largest line is H2021, Community-based wrap-around services, per 15 minutes — 81% of everything it billed.
33Billing provider infoTOWN OF WINTHROP
WINTHROP, ME 04364
WINTHROP, ME 04364
33aNPI1134330129assigned 05/24/2007
33bProvider typeLocal Education Agency (LEA)
28Total paid$260K
24GClaims4,148
24DCodes billed4
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Local Education Agency (LEA) providers in Maine
Rank by total paid#22 of 60
Median peer was paid$127K
This provider vs. median2.0×
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 | 2,114 | $116K | |
| 2019 | 1,395 | $92K | |
| 2020 | 315 | $45K | |
| 2021 | 197 | $5K | |
| 2022 | 127 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2021 | Community-based wrap-around services, per 15 minutes | 81% | 1,842 | 120 | $212K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 11% | 1,353 | 324 | $27K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 6.8% | 698 | 135 | $18K |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.2% | 255 | 61 | $3K |
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 officialSIMMONS, IDA (FINANCE)
Parent organizationTOWN OF WINTHROP