Cross Roads Case Management

Cross Roads Case Management was paid $7.85M by Medicaid between Mar 2019 and Dec 2024, across 5 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 38% of everything it billed.

33Billing provider infoCROSS ROADS CASE MANAGEMENT
PITTSFIELD, ME 04967

33aNPI1700369667assigned 09/07/2018

33bProvider typeCase Management Agency

28Total paid$7.85M

24GClaims64,356

24DCodes billed5

24AFirst – last monthMar 2019 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Maine

Rank by total paid#21 of 79

Median peer was paid$1.77M

This provider vs. median4.4×

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
2019	3,399	$438K
2020	4,617	$452K
2021	7,258	$637K
2022	14,242	$1.33M
2023	17,369	$2.26M
2024incomplete	17,471	$2.74M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	38%	33,343	7,472	$2.96M
H2021	Community-based wrap-around services, per 15 minutes	31%	8,166	905	$2.40M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	30%	20,949	6,216	$2.33M
H0004	Behavioral health counseling and therapy, per 15 minutes	1.9%	1,881	764	$153K
H2000	Comprehensive multidisciplinary evaluation	<1%	17	13	$2K

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 officialSINCLAIR, DUSTIN (CEO)