Medicaid Provider Spending

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

TURNING POINT MENTAL HEALTH PROFESSIONALS LLC

NPI: 1265078737 · LINCOLN, ME 04457 · Addiction (Substance Use Disorder) Counselor · NPI assigned 11/20/2019

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

99% of spending on code H0004 with only 2 total codes billed. Highly concentrated billing profile.

$2.16M
Total Medicaid Paid
22,379
Total Claims
6,249
Beneficiaries
2
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKRAWLETZ, CHERYL (CO-OWNER/CO-OPERATOR/CLINICIAN)
NPI Enumeration Date11/20/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 501 $48K
2021 4,775 $439K
2022 6,473 $548K
2023 6,944 $724K
2024 3,686 $397K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 22,237 6,115 $2.13M
H2000 Comprehensive multidisciplinary evaluation 142 134 $23K