Medicaid Provider Spending

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

SOUTHERN MAINE CHIDLREN'S ACADEMY, LLC

NPI: 1275978769 · WINDHAM, ME 04062 · Community/Behavioral Health Agency · NPI assigned 05/09/2013

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

99% of spending on code H2021 with only 2 total codes billed. Highly concentrated billing profile.

$9.36M
Total Medicaid Paid
29,846
Total Claims
2,023
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBILLINGTON, JACQUELINE (OWNER)
NPI Enumeration Date05/09/2013

Related Entities

Other providers sharing the same authorized official: BILLINGTON, JACQUELINE

ProviderCityStateTotal Paid
SOUTHERN MAINE SPEECH & LANGUAGE SERVICES, LLC WINDHAM ME $241K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,108 $1.24M
2019 4,312 $1.35M
2020 2,424 $719K
2021 4,837 $1.26M
2022 4,775 $1.21M
2023 3,956 $1.76M
2024 4,434 $1.80M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2021 Community-based wrap-around services, per 15 minutes 28,811 1,856 $9.27M
G9007 Coordinated care fee, scheduled team conference 1,035 167 $86K