KAREN LOUISE BACKMAN, L.C.P.C.
NPI 1174873921, individual, Westbrook, ME, Counselor, Professional
- 100% of Medicaid dollars are on codes with a history of abuse.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KAREN LOUISE BACKMAN, L.C.P.C. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 19, 2012, last updated September 19, 2012 |
| Practice location | 21 SACO ST, Westbrook, ME 04092-2856, 207-591-4452 |
| Specialties | Counselor, Professional (101YP2500X, primary, license CC2073 ME) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation services per 15 minhistory of abuse | $13.8M | 90% | $942 | $310 (top 5% from $1K) | 87th percentile | |
| H2015 | Comprehensive community support services per 15 minhistory of abuse | $1.5M | 10% | $431 | $344 (top 5% from $2K) | 56th percentile |
In this area
4 providers in Cumberland County, ME carry an indicator in the public record, with $566K at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | AFFINITY CARE OF MAINE LLC South Portland, ME, ranked 1675 | $596 |
|
| 5 | KIMBERLY LOIKA-SMITH South Portland, ME, ranked 10395 | $190K |
|
| 5 | JAMIE ROSE South Portland, ME, ranked 10441 | $125K |
|
| 5 | ALLYSON LOWELL Westbrook, ME, ranked 11413 | $250K |
Recent enforcement in ME
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.