AREA IV MENTAL HEALTH SERVICES
NPI: 1255462636
· LEWISTON, ME 04240
· Case Management Agency
· NPI assigned 03/08/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code H2015 with only 2 total codes billed. Highly concentrated billing profile.
$6.00M
Total Medicaid Paid
26,949
Beneficiary Records
Provider Details
| Authorized Official | BENJAMIN, RAY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,114 |
$844K |
| 2019 |
11,002 |
$917K |
| 2020 |
14,114 |
$839K |
| 2021 |
13,565 |
$787K |
| 2022 |
14,128 |
$908K |
| 2023 |
11,492 |
$764K |
| 2024 |
13,788 |
$942K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
84,995 |
23,859 |
$5.77M |
| H2000 |
Comprehensive multidisciplinary evaluation |
3,208 |
3,090 |
$231K |