Behavioral
Tri-County Mental Health Services
Tri-County Mental Health Services was paid $40.00M by Medicaid between Jan 2018 and Mar 2024, across 20 billing codes. Its largest line is T1020, help at home with daily living, billed per day — 42% of everything it billed.
33Billing provider infoTRI-COUNTY MENTAL HEALTH SERVICES
LEWISTON, ME 04241
LEWISTON, ME 04241
33aNPI1215979158assigned 06/12/2006
33bProvider typeMental Health Counselor
28Total paid$40.00M
24GClaims237,008
24DCodes billed20
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Mental Health Counselor providers in Maine
Rank by total paid#1 of 39
Median peer was paid$76K
This provider vs. median523×
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.
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 | 50,260 | $7.30M | |
| 2019 | 46,980 | $7.02M | |
| 2020 | 43,299 | $6.49M | |
| 2021 | 40,945 | $6.34M | |
| 2022 | 35,256 | $5.78M | |
| 2023 | 16,636 | $5.67M | |
| 2024incomplete | 3,632 | $1.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 42% | 7,504 | 1,615 | $16.99M |
| H0040 | Assertive community treatment program, per diem | 18% | 99,663 | 5,564 | $7.05M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 13% | 47,683 | 3,401 | $5.17M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 12% | 61,317 | 23,754 | $4.64M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 9.4% | 7,489 | 1,614 | $3.75M |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 2.7% | 2,299 | 606 | $1.08M |
| H2010 | Comprehensive medication services, per 15 minutes | 1.7% | 4,244 | 3,378 | $665K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | <1% | 1,903 | 723 | $159K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 621 | 215 | $93K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | <1% | 192 | 36 | $90K |
| H2018 | Psychosocial rehabilitation services, per diem | <1% | 1,082 | 66 | $80K |
| 99408 | <1% | 201 | 179 | $46K |
8 more codes
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | <1% | 203 | $45K |
| T2022 | Case management, per month | <1% | 129 | $42K |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 397 | $26K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 282 | $22K |
| 90837 | Psychotherapy session, about an hour | <1% | 728 | $14K |
| T2017 | Habilitation, residential, waiver; 15 minutes | <1% | 118 | $12K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 635 | $12K |
| Q3014 | Telehealth originating site facility fee | <1% | 318 | $2K |
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 officialRYDER, CATHERINE (EXECUTIVE DIRECTOR)