Maine
#31 in Medicaid spending (0.87% of national total)
Total Spending
$9.49B
Total Claims
91.7M
Providers
2,552
Avg Cost/Claim
$103
Data Coverage Note: Maine has 88% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 12% of enrollees). Actual total Medicaid spending in Maine is significantly higher than shown.
Enrollment (Latest)
393K
Managed Care
88%
ACA Expansion
Yes (2019)
FFS $/Enrollee
$4,273
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
GRANITE BAY CARE, INC Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $281.7M |
JOHN F MURPHY HOMES, INC. Occupational Therapy Assistant | $260.0M |
MAINEGENERAL MEDICAL CENTER General Acute Care Hospital | $167.8M |
EASTERN MAINE MEDICAL CENTER General Acute Care Hospital | $159.2M |
CREATIVE WORKS Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $144.1M |
KENNEBEC VALLEY MENTAL HEALTH CENTER Clinic/Center | $143.0M |
MAINEHEALTH Emergency Medicine | $142.7M |
ALPHA ONE Case Management | $121.6M |
MAINEHEALTH Community/Behavioral Health | $115.1M |
SPURWINK SERVICES Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $112.8M |
WAYPOINT MAINE, INC. Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $110.5M |
GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND Community/Behavioral Health | $106.0M |
WOODFORDS FAMILY SERVICES Community/Behavioral Health | $101.6M |
SWEETSER Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $98.1M |
SAFE RESIDENTIAL CARE, LLC Residential Treatment Facility, Physical Disabilities | $94.6M |
MOTIVATIONAL SERVICES INC Voluntary or Charitable | $92.1M |
EMPLOYMENT SPECIALISTS OF MAINE, INC. Community Based Residential Treatment Facility, Mental Illness | $84.2M |
PORT RESOURCES Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $83.0M |
SHALOM HOUSE, INC. Case Management | $81.9M |
SWEETSER Psychologist | $80.6M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| T2016 | Habil res waiver per diem | $2.31B |
| H0019 | Alcohol and/or drug services | $670.3M |
| T1015 | Clinic service | $544.7M |
| H2021 | Com wrap-around sv, 15 min | $534.4M |
| T1019 | Personal care ser per 15 min | $512.5M |
| S5140 | Adult foster care per diem | $421.3M |
| T2021 | Day habil waiver per 15 min | $370.1M |
| G0463 | Hospital outpt clinic visit | $251.5M |
| H0004 | Alcohol and/or drug services | $233.4M |
| H2012 | Behav hlth day treat, per hr | $212.2M |
| T1020 | Personal care ser per diem | $193.7M |
| S5125 | Attendant care service /15m | $149.4M |
| G9012 | Other specified case mgmt | $147.6M |
| G0299 | Hhs/hospice of rn ea 15 min | $143.2M |
| H0020 | Alcohol and/or drug services | $129.4M |
| H2015 | Comp comm supp svc, 15 min | $121.4M |
| T1017 | Targeted case management | $106.7M |
| T2017 | Habil res waiver 15 min | $100.3M |
| 99284 | Emergency dept visit mod mdm | $92.2M |
| 99214 | Office o/p est mod 30 min | $87.9M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $1.14B | 17 |
| Community/Behavioral Health | $1.05B | 116 |
| Case Management | $864.9M | 79 |
| Clinic/Center | $793.4M | 315 |
| General Acute Care Hospital | $732.9M | 47 |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $596.3M | 24 |
| Day Training, Developmentally Disabled Services | $588.2M | 39 |
| In Home Supportive Care | $572.8M | 70 |
| Home Health | $287.2M | 58 |
| Occupational Therapy Assistant | $272.5M | 6 |
| Community Based Residential Treatment Facility, Mental Illness | $250.4M | 8 |
| Emergency Medicine | $147.6M | 25 |
| Social Worker | $143.0M | 94 |
| Counselor | $142.1M | 99 |
| Ambulance | $113.5M | 125 |
| Voluntary or Charitable | $110.0M | 2 |
| Dentist | $106.4M | 121 |
| Psychologist | $105.2M | 33 |
| Early Intervention Provider Agency | $103.0M | 8 |
| Durable Medical Equipment & Medical Supplies | $95.1M | 162 |