Agency
Hospice of Southern Maine
Hospice of Southern Maine was paid $1.88M by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is T2042, Hospice routine home care; per diem — 99% of everything it billed.
33Billing provider infoHOSPICE OF SOUTHERN MAINE
SCARBOROUGH, ME 04074
SCARBOROUGH, ME 04074
33aNPI1972594232assigned 11/04/2005
33bProvider typeCommunity Based Hospice Care Agency
28Total paid$1.88M
24GClaims72,264
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Community Based Hospice Care Agency providers in Maine
Rank by total paid#3 of 13
Median peer was paid$8K
This provider vs. median249×
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 | 9,235 | $332K | |
| 2019 | 11,263 | $146K | |
| 2020 | 7,786 | $223K | |
| 2021 | 9,435 | $241K | |
| 2022 | 12,435 | $459K | |
| 2023 | 13,504 | $327K | |
| 2024incomplete | 8,606 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2042 | Hospice routine home care; per diem | 99% | 8,882 | 450 | $1.86M |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 1.3% | 29,556 | 5,592 | $24K |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | <1% | 7,879 | 4,282 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $357.48 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 1,145 | 455 | $0.00 |
| Q5006 | Hospice care provided in inpatient hospice facility | 0% | 1,411 | 1,311 | $0.00 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 0% | 17,580 | 3,227 | $0.00 |
| Q5003 | Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) | 0% | 1,430 | 1,423 | $0.00 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 2,883 | 2,796 | $0.00 |
| J2060 | Injection, lorazepam, 2 mg | 0% | 940 | 486 | $0.00 |
| J1630 | Injection, haloperidol, up to 5 mg | 0% | 466 | 171 | $0.00 |
| Q5002 | Hospice or home health care provided in assisted living facility | 0% | 49 | 49 | $0.00 |
1 more codes
| J3490 | Unclassified drugs | 0% | 31 | $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 officialMALO, MICHELLE (QUALITY & COMPLIANCE DIRECTOR)