Rivers Edge Behavioral Health Services, LLC

Rivers Edge Behavioral Health Services, LLC was paid $2.51M by Medicaid between Feb 2022 and Sep 2023, across 2 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 84% of everything it billed.

33Billing provider infoRIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC
SPRINGFIELD, ME 04487

33aNPI1659985125assigned 09/02/2020

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$2.51M

24GClaims3,053

24DCodes billed2

24AFirst – last monthFeb 2022 – Sep 2023

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Maine

Rank by total paid#3 of 8

Median peer was paid$560K

This provider vs. median4.5×

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
2022	1,749	$1.44M
2023	1,304	$1.07M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2036	Alcohol and/or other drug treatment program, per diem	84%	1,527	505	$2.10M
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)	16%	1,526	505	$415K

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 officialCLUKEY, NICOLE (EXECUTIVE DIRECTOR)