Maine Medicaid Spending
Maine's Medicaid program paid $1.42B across 8 providers from 2018–2024. 28 providers in Maine are flagged on our risk watchlist. The top procedure code is T2016 (Habilitation, residential, waiver; per diem) at $473.5M.
Total Spending
$1.42B
Total Claims
14.1M
Top Providers
8
Beneficiaries
9.9M
Flagged Providers
28
on risk watchlist
Avg Per Provider
$177.5M
across 8 providers
Yearly Spending Trend
Top Providers in Maine
Granite Bay Care INC
Residential Treatment Facility Intellectual and/o · Portland
$281.7M
226K claims
John F Murphy Homes Inc.
Nursing Facility/Intermediate Care Facility · Auburn
$260.0M
631K claims
Mainegeneral Medical Center
General Acute Care Hospital · Augusta
$167.8M
4.8M claims
Eastern Maine Medical Center
General Acute Care Hospital · Bangor
$159.2M
3.3M claims
Creative Works
Day Training Developmentally Disabled Services · Westbrook
$144.1M
105K claims
Kennebec Valley Mental Health Center
Clinic/Center Mental Health (Including Community · Waterville
$143.0M
888K claims
Mainehealth
Emergency Medicine · Portland
$142.7M
3.0M claims
Alpha One
Case Management · South Portland
$121.6M
1.1M claims
Flagged Providers in Maine
Granite Bay Care INC
$281.7M
2 flags
John F Murphy Homes Inc.
$260.0M
2 flags
Safe Residential Care LLC
$94.6M
1 flag
Motivational Services INC
$92.1M
1 flag
Creative Works
$88.3M
1 flag
Community Health and Counseling Services
$79.6M
1 flag
Port Resources
$74.0M
1 flag
Waypoint Maine Inc.
$71.5M
1 flag
Goodwill Industries of Northern New England
$71.0M
1 flag
Happy Haven LLC
$65.3M
1 flag
Showing 10 of 28 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in Maine
| Code | Total Paid |
|---|---|
| T2016 Habilitation, residential, waiver; per diem | $473.5M |
| H2021 Community-based wrap-around services, per 15 min | $111.0M |
| S5125 Attendant care services, per 15 min | $107.5M |
| G0463 Hospital outpatient clinic visit | $103.8M |
| H0019 Behavioral health; residential, per diem | $45.5M |
| S5140 Foster care, adult; per diem | $40.6M |
| 99285 Emergency dept visit, high/urgent complexity | $35.0M |
| T2021 Day habilitation, waiver; per 15 min | $29.5M |
| 99284 Emergency dept visit, high complexity | $29.5M |
| H2030 Mental health clubhouse services, per 15 minutes | $28.0M |
| H2010 Comprehensive medication services, per 15 min | $27.7M |
| J9271 Injection, pembrolizumab, 1 mg | $19.3M |
| 99283 Emergency dept visit, moderate complexity | $15.4M |
| H2012 Behavioral health day treatment, per hour | $14.0M |
| H0004 Behavioral health counseling & therapy, per 15 min | $13.7M |