Medicaid Provider Spending

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

CAP QUALITY CARE, INC.

NPI: 1184762247 · WESTBROOK, ME 04092 · Methadone Clinic · NPI assigned 02/02/2007

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

100% of spending on code H0020 with only 3 total codes billed. Highly concentrated billing profile.

$7.08M
Total Medicaid Paid
73,679
Total Claims
16,935
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSKILLINGS, CARRIE (OPERATIONS MANAGER)
NPI Enumeration Date02/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,290 $670K
2019 12,774 $1.03M
2020 12,471 $1.11M
2021 11,987 $1.06M
2022 10,186 $935K
2023 8,636 $1.22M
2024 7,335 $1.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 67,986 15,501 $7.07M
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 4,742 1,200 $9K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 951 234 $70.56