Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ME › Portland › NPI 1154948206
Residential

Quality Care Access, LLC

Quality Care Access, LLC was paid $17.23M by Medicaid between Apr 2022 and Dec 2024, across 1 billing code. Its largest line is T2016, a day of residential support for a person with a developmental disability — 100% of everything it billed.

33Billing provider infoQUALITY CARE ACCESS, LLC
PORTLAND, ME 04102
33aNPI1154948206assigned 07/05/2020
28Total paid$17.23M
24GClaims2,109
24DCodes billed1
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Maine

Rank by total paid#10 of 24
Median peer was paid$10.18M
This provider vs. median1.7×

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 T2016 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2022502$3.50M
2023848$7.10M
2024incomplete759$6.63M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2016 A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem 100% 2,109 461 $17.23M

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 officialNSENGA, JUSTIN (EXECUTIVE DIRECTOR)