Medicaid Provider Spending

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

ALLIANCE CASE MANAGEMENT

NPI: 1669782850 · WESTBROOK, ME 04092 · Case Management Agency · NPI assigned 10/21/2010

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

100% of spending on code G9012 with only 2 total codes billed. Highly concentrated billing profile.

$17.78M
Total Medicaid Paid
146,047
Total Claims
48,913
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPITTS, KAREN (EXECUTIVE DIRECTOR)
NPI Enumeration Date10/21/2010

Related Entities

Other providers sharing the same authorized official: PITTS, KAREN

ProviderCityStateTotal Paid
MCKAY SHARED LIVING SERVICES OLD TOWN ME $16.37M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,072 $1.93M
2019 20,520 $2.44M
2020 22,736 $2.50M
2021 23,312 $2.72M
2022 24,060 $2.93M
2023 24,349 $3.07M
2024 14,998 $2.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9012 Other specified case management service not elsewhere classified 145,396 48,676 $17.73M
T1016 Case management, each 15 minutes 651 237 $51K