KIMBERLY ANNE LOIKA-SMITH, LCSW
NPI 1669877676, individual, South Portland, ME, Social Worker, Clinical
- Medicaid dollars per patient on code H2012 ($5129 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KIMBERLY ANNE LOIKA-SMITH, LCSW (also KIMBERLY LOIKA) |
| Type | Individual |
| Status | Active |
| NPI issued | November 3, 2014, last updated July 14, 2016 |
| Practice location | 236 GANNETT DR, South Portland, ME 04106-6913, 207-661-3600 |
| Mailing address | 78 ATLANTIC PL, South Portland, ME 04106-2316 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license LC15069 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 | |
|---|---|---|---|---|---|---|---|
| H2012 | Behavioral health day treatment per hour | $4.3M | 100% | $5K | $677 (top 5% from $3K) | 99th percentile |
In this area
4 providers in Cumberland County, ME carry an indicator in the public record, with $1.2M 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 | JAMIE ROSE South Portland, ME, ranked 10441 | $125K |
|
| 5 | KAREN BACKMAN Westbrook, ME, ranked 10587 | $873K |
|
| 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.