Clinic
Cap Quality Care, INC.
Cap Quality Care, INC. was paid $7.08M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 100% of everything it billed.
33Billing provider infoCAP QUALITY CARE, INC.
WESTBROOK, ME 04092
WESTBROOK, ME 04092
33aNPI1184762247assigned 02/02/2007
33bProvider typeMethadone Clinic
28Total paid$7.08M
24GClaims73,679
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Methadone Clinic providers in Maine
Rank by total paid#5 of 8
Median peer was paid$7.08M
This provider vs. median1.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code H0020 with only 3 total codes billed. Highly concentrated billing profile.
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 | 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 | |
| 2024incomplete | 7,335 | $1.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 100% | 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) | <1% | 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 | <1% | 951 | 234 | $70.56 |
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 officialSKILLINGS, CARRIE (OPERATIONS MANAGER)