Employment Specialists of Maine Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $2,594.16 per claim for T1020 (Personal care services, per diem), which is 8.8× the national median of $296.27.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T1020 (2 unique codes).
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
Single-Code
Single-Code Billing means this provider bills almost exclusively for one or two procedure codes despite high total volume. Legitimate specialists may focus on specific codes, but extreme concentration can indicate a scheme billing repeatedly for the same service.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Community Based Residential Treatment Facility Mental Illness Peers
Total spending distribution among 6 providers in this specialty
This provider's total spending of $84.2M is at the 75th percentile among 6 Community Based Residential Treatment Facility Mental Illness providers.
Total Paid
$84.2M
$84,193,297
Total Claims
49K
Beneficiaries
10K
5.1 claims/patient
Avg Cost/Claim
$2K
🔍 Analysis
Provider Overview
Employment Specialists of Maine Inc. is a Community Based Residential Treatment Facility Mental Illness provider based in Augusta, ME. From the 2018–2024 period, this provider received $84.2M in Medicaid payments across 49K claims.
Why This Matters
At $84.2M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
Other Top Providers in Maine
View all →Granite Bay Care INC
Residential Treatment Facility Intellectual and/o
$281.7M
John F Murphy Homes Inc.
Nursing Facility/Intermediate Care Facility
$260.0M
Mainegeneral Medical Center
General Acute Care Hospital
$167.8M
Eastern Maine Medical Center
General Acute Care Hospital
$159.2M
Creative Works
Day Training Developmentally Disabled Services
$144.1M