Agency
Mainehealth Care at Home
Mainehealth Care at Home was paid $11.28M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is G0151, Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes — 34% of everything it billed.
33Billing provider infoMAINEHEALTH CARE AT HOME
SACO, ME 04072
SACO, ME 04072
33aNPI1275510844assigned 12/27/2005
33bProvider typeHome Health Agency
28Total paid$11.28M
24GClaims152,927
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Maine
Rank by total paid#7 of 58
Median peer was paid$1.54M
This provider vs. median7.3×
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 | 18,210 | $1.62M | |
| 2019 | 19,178 | $2.07M | |
| 2020 | 24,888 | $1.33M | |
| 2021 | 23,844 | $1.70M | |
| 2022 | 26,398 | $1.43M | |
| 2023 | 19,929 | $1.54M | |
| 2024incomplete | 20,480 | $1.59M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 34% | 45,198 | 13,580 | $3.82M |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 33% | 55,631 | 14,792 | $3.68M |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 23% | 29,393 | 9,893 | $2.64M |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | 6.4% | 6,833 | 2,269 | $724K |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | 2.4% | 2,699 | 1,701 | $265K |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | <1% | 3,912 | 863 | $97K |
| S9110 | Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month | <1% | 489 | 431 | $30K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | <1% | 1,002 | 543 | $26K |
| 0031A | <1% | 74 | 74 | $1K | |
| 0012A | <1% | 30 | 30 | $186.45 | |
| 0011A | <1% | 32 | 32 | $165.03 | |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 86 | 49 | $20.51 |
12 more codes
| 90686 | <1% | 459 | $16.02 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 54 | $5.00 |
| Q5001 | Hospice or home health care provided in patient's home/residence | <1% | 2,944 | $0.02 |
| G0493 | Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) | 0% | 1,781 | $0.00 |
| A6260 | Wound cleansers, any type, any size | 0% | 459 | $0.00 |
| A9270 | Non-covered item or service | 0% | 62 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 395 | $0.00 |
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | 0% | 95 | $0.00 |
| A4452 | Tape, waterproof, per 18 square inches | 0% | 126 | $0.00 |
| G0495 | Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes | 0% | 458 | $0.00 |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 0% | 701 | $0.00 |
| 90662 | 0% | 14 | $0.00 |
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 officialAPRILE, PATRICIA (PRESIDENT HOME HEALTH & HOSPICE SVC)
| Provider | Location | Paid |
|---|---|---|
| Mainehealth Care at Home | Rockport, ME | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.