Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE OPPORTUNITY ALLIANCE

NPI: 1154557452 · SOUTH PORTLAND, ME 04106 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 06/02/2009

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0018 with only 1 total codes billed. Highly concentrated billing profile.

$7.44M
Total Medicaid Paid
10,866
Total Claims
1,368
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGENTILE, VIRGINIA (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/02/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 450 $728K
2019 832 $1.23M
2020 1,607 $1.18M
2021 2,100 $993K
2022 2,316 $1.15M
2023 2,528 $1.51M
2024 1,033 $647K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 10,866 1,368 $7.44M