Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ME › Waterville › NPI 1679504864
Clinic

Kennebec Valley Mental Health Center

Kennebec Valley Mental Health Center was paid $143.05M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 31% of everything it billed.

33Billing provider infoKENNEBEC VALLEY MENTAL HEALTH CENTER
WATERVILLE, ME 04901
33aNPI1679504864assigned 07/05/2006
28Total paid$143.05M
24GClaims887,611
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Maine

Rank by total paid#1 of 17
Median peer was paid$374K
This provider vs. median383×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018134,145$19.86M
2019136,415$20.06M
2020132,398$18.81M
2021131,470$19.76M
2022126,358$20.71M
2023122,612$22.96M
2024incomplete104,213$20.88M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 31% 4,180 2,990 $44.47M
H2030 Mental health clubhouse services, per 15 minutes 20% 250,086 32,509 $28.02M
H2010 Comprehensive medication services, per 15 minutes 19% 220,947 192,069 $27.66M
H0004 Behavioral health counseling and therapy, per 15 minutes 9.4% 174,067 81,044 $13.50M
H2033 Multisystemic therapy for juveniles, per 15 minutes 4.4% 13,747 3,222 $6.36M
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) 3.9% 4,178 2,990 $5.56M
H2018 Psychosocial rehabilitation services, per diem 3.4% 56,474 2,063 $4.81M
G9012 Other specified case management service not elsewhere classified 2.1% 40,778 9,086 $2.94M
H2021 Community-based wrap-around services, per 15 minutes 1.7% 14,183 1,962 $2.43M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 1.6% 35,370 8,243 $2.28M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 1.2% 26,318 7,184 $1.69M
H2000 Comprehensive multidisciplinary evaluation <1% 7,272 6,982 $734K
17 more codes
T2022 Case management, per month <1% 2,023 $655K
H0047 Alcohol and/or other drug abuse services, not otherwise specified <1% 2,233 $594K
99408 <1% 2,235 $579K
99214 Doctor's office visit, returning patient (more involved) <1% 15,279 $206K
H2019 Therapeutic behavioral services, billed per 15 minutes <1% 2,534 $197K
G9007 Coordinated care fee, scheduled team conference <1% 2,491 $181K
99213 Doctor's office visit, returning patient (routine) <1% 7,623 $85K
99443 <1% 3,553 $53K
90837 Psychotherapy session, about an hour <1% 1,157 $11K
99442 <1% 341 $8K
T1012 Alcohol and/or substance abuse services, skills development <1% 12 $6K
96112 <1% 45 $4K
90792 Psychiatric diagnostic evaluation with medical services <1% 53 $798.76
98967 <1% 25 $45.54
90791 Psychiatric diagnostic evaluation <1% 13 $19.58
98968 0% 296 $0.00
90785 0% 98 $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 officialMCADAM, THOMAS (CHIEF EXECUTIVE OFFICER)