Agency
Community Concepts Incorporated
Community Concepts Incorporated was paid $6.54M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 55% of everything it billed.
33Billing provider infoCOMMUNITY CONCEPTS INCORPORATED
RUMFORD, ME 04276
RUMFORD, ME 04276
33aNPI1962591230assigned 10/12/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$6.54M
24GClaims63,947
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Maine
Rank by total paid#30 of 116
Median peer was paid$1.80M
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2018 | 9,021 | $860K | |
| 2019 | 9,571 | $969K | |
| 2020 | 8,968 | $821K | |
| 2021 | 9,368 | $864K | |
| 2022 | 11,384 | $1.08M | |
| 2023 | 10,368 | $1.15M | |
| 2024incomplete | 5,267 | $797K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 55% | 44,947 | 16,416 | $3.62M |
| H2011 | Crisis intervention service, per 15 minutes | 24% | 7,181 | 2,617 | $1.58M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 9.9% | 6,790 | 2,259 | $645K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 5.3% | 543 | 76 | $348K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 2.7% | 1,728 | 411 | $174K |
| H2000 | Comprehensive multidisciplinary evaluation | 2.0% | 1,609 | 1,364 | $128K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 363 | 347 | $24K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 652 | 199 | $16K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 134 | 119 | $4K |
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 officialLEBLANC, JESSICA (DIRECTOR OF BEHAVIORAL HEALTH)