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NPI 1922007798 · South Portland, ME · Substance Use Disorder Rehabilitation Clinic/Center
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Center For Behavioral Health Me, Inc. is a substance use disorder rehabilitation clinic/center provider located in South Portland, Maine. This profile covers 4 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Center For Behavioral Health Me, Inc. |
| Address | 400 Western Ave |
| City | South Portland |
| State | ME |
| ZIP | 04106 |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| NPI Enumerated | July 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $20.1M |
| Medicare | $536.2K |
CENTER FOR BEHAVIORAL HEALTH ME, INC. is operating as a medication-assisted treatment (MAT) focused opioid treatment program consistent with its Substance Use Disorder Rehabilitation Clinic/Center taxonomy; its Medicare and Medicaid top codes are dominated by methadone administration and OTP weekly bundles (G2067, G2078, H0020), indicating primary revenue generation from dispensing methadone and associated counseling/toxicology services. The code mix shows the organization primarily functions as an OTP with ancillary counseling and case management rather than as a general behavioral health clinic.
Revenue concentration is extreme across both payers: the top 3 Medicare codes by revenue account for 99.0% of Medicare revenue, and the top 3 Medicaid codes by revenue account for 97.4% of Medicaid revenue. This indicates the provider’s public-payer revenue streams are narrowly focused on a very small set of OTP/MAT codes rather than a broad portfolio of procedures.
Medicaid is the dominant public payer for this provider: total Medicaid revenue is $20.1M versus total Medicare revenue of $536.2K, meaning the practice is effectively Medicaid-driven in scale and relying much more heavily on state Medicaid flows than on Medicare. Operational and strategic analysis should therefore emphasize Medicaid reimbursement rates and state-level OTP policy.
At the Medicaid line-item level H0020 (methadone administration) supplies $18.8M in revenue, representing 93.8% of the provider’s Medicaid revenue and ranking #3 of 14 in-state (85th percentile), which positions the clinic as one of the larger in-state methadone administrators. Complementary Medicaid activity includes T2022 case management ($496.9K, 2.5% of Medicaid revenue) and 99408 brief-intervention billing ($226.3K, 1.1%), showing that case management and SBIRT-style services are offered but contribute only a modest share of Medicaid revenue.
On Medicare the single dominant code is G2067 (weekly MAT bundle), which generates $447.5K and represents 83.4% of the provider’s Medicare revenue while ranking #86 of 830 nationally (90th percentile); G2078 (take-home methadone) accounts for $63.7K (11.9% of Medicare revenue) and ranks #17 of 493 (97th percentile). These rank and percentile positions suggest the provider has above-typical national volume for select OTP services but is not an outlier across all Medicare providers; Medicare volumes are concentrated in the same OTP services seen in Medicaid.
Several Medicaid codes are flagged as notably above typical state volume, which is important for competitive positioning: Medicaid G2067 ranks #2 of 12 in-state (91th percentile; notably above typical state volume) and Medicaid G2078 ranks #1 of 9 in-state (100th percentile; notably above typical state volume). Those labels indicate that, beyond H0020 dominance, the clinic bills materially more take-home and weekly-bundle OTP services than most peers in Maine, strengthening its in-state specialization in methadone-based MAT.
The provider has a long operational tenure with NPI enumeration on 2005-07-14 (~21 years ago), which supports a view of an established OTP program with sustained Medicaid relationships and built operational capability in methadone dispensing and associated counseling services. That longevity combined with concentrated Medicaid revenue suggests institutional stability in its core service line.
The high dependence on a very small set of OTP/MAT codes (Medicare top 3 = 99.0% of Medicare revenue; Medicaid top 3 = 97.4% of Medicaid revenue) creates revenue concentration risk: changes in OTP reimbursement, authorization policies for methadone dispensing or take-home rules, or state Medicaid program adjustments could disproportionately affect the organization’s finances. Monitoring policy shifts and payer audits around H0020, G2067, and G2078 should therefore be a priority for payers and analysts evaluating this entity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1,900 | $240 | $447.5K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 1,680 | $40 | $63.6K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 110 | $190 | $20.2K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 50 | $120 | $5.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 188,090 | $100 | $18.8M |
| T2022 | Case management, per month | 1,380 | $360 | $496.9K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 17,160 | $10 | $240.2K |
| 99408 | The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session. | 1,380 | $160 | $226.3K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 1,380 | $130 | $172.3K |
| H2010 | Comprehensive medication services, per 15 minutes | 770 | $70 | $55.8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1,160 | $40 | $43K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 7,410 | $1 | $14.8K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 110 | $1 | $330 |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 90 | $1 | $260 |
How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maine median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 3 | 10 | 61,180 | $110 | $9.2M |
| H2010 | Comprehensive medication services, per 15 minutes | 40 | 50 | 3,690 | $130 | $1.6M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 131 | 290 | 860 | $80 | $805.1K |
| T2022 | Case management, per month | 12 | 40 | 800 | $190 | $780.3K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 9 | 30 | 750 | $240 | $312.9K |
| 99408 | The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session. | 9 | 30 | 740 | $240 | $301.1K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 2 | 10 | 5,260 | $10 | $78.6K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 1 | 10 | 950 | $1 | $6.5K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 2 | 10 | 50 | $10 | $2.8K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 2 | 10 | 70 | $1 | $130 |
Other providers in the same ZIP code as Center For Behavioral Health Me, Inc., ranked by combined Medicare and Medicaid revenue.
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