QUALITY CARE ACCESS, LLC
NPI: 1154948206
· PORTLAND, ME 04102
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 07/05/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2016 with only 1 total codes billed. Highly concentrated billing profile.
$17.23M
Total Medicaid Paid
Provider Details
| Authorized Official | NSENGA, JUSTIN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/05/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
502 |
$3.50M |
| 2023 |
848 |
$7.10M |
| 2024 |
759 |
$6.63M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
2,109 |
461 |
$17.23M |