Clinic
Katahdin Valley Health Center
Katahdin Valley Health Center was paid $9.99M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoKATAHDIN VALLEY HEALTH CENTER
MILLINOCKET, ME 04462
MILLINOCKET, ME 04462
33aNPI1003034406assigned 04/23/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.99M
24GClaims117,700
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#6 of 76
Median peer was paid$1.58M
This provider vs. median6.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,219 | $771K | |
| 2019 | 13,248 | $1.19M | |
| 2020 | 14,814 | $1.25M | |
| 2021 | 16,365 | $1.41M | |
| 2022 | 16,006 | $1.46M | |
| 2023 | 25,796 | $2.00M | |
| 2024incomplete | 23,252 | $1.91M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 93% | 42,424 | 25,554 | $9.29M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 3.6% | 5,179 | 3,589 | $358K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 1.6% | 1,258 | 1,091 | $155K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 1,057 | 404 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 9,527 | 7,647 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,077 | 4,736 | $27K |
| 98940 | <1% | 3,293 | 1,668 | $13K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,705 | 1,226 | $9K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,566 | 1,546 | $9K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 3,493 | 2,971 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,861 | 1,732 | $6K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 65 | 30 | $5K |
70 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,527 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 515 | $3K |
| 3079F | <1% | 1,047 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,501 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 986 | $3K |
| 3078F | <1% | 1,528 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,161 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 1,710 | $2K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 381 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,516 | $936.39 |
| 3008F | <1% | 2,365 | $859.92 | |
| G0008 | Administration of influenza virus vaccine | <1% | 263 | $851.67 |
| 96127 | <1% | 1,110 | $835.99 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 62 | $833.49 |
| D1110 | Prophylaxis - adult | <1% | 1,042 | $814.65 |
| G0466 | Community health center visit, new patient | <1% | 12 | $735.40 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,106 | $718.08 |
| 3074F | <1% | 2,015 | $644.93 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,143 | $642.39 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 652 | $452.95 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 767 | $401.26 |
| 91322 | <1% | 34 | $287.20 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 516 | $259.38 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24 | $235.68 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 33 | $199.67 |
| 92551 | <1% | 854 | $185.38 | |
| 90688 | <1% | 41 | $179.64 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 176 | $169.49 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 149 | $106.57 |
| 3075F | <1% | 433 | $95.59 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 43 | $79.12 |
| 90656 | <1% | 21 | $77.82 | |
| 90480 | <1% | 34 | $73.23 | |
| 1160F | <1% | 1,775 | $72.06 | |
| 36416 | <1% | 174 | $64.17 | |
| 90686 | <1% | 30 | $21.48 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 167 | $15.53 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 278 | $15.00 |
| 99173 | <1% | 292 | $9.16 | |
| 92015 | Determination of refractive state | <1% | 57 | $0.70 |
| 3725F | <1% | 431 | $0.45 | |
| 2028F | <1% | 59 | $0.18 | |
| 3077F | <1% | 158 | $0.02 | |
| D0274 | Bitewings - four radiographic images | 0% | 60 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 300 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 84 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 53 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 1,153 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 189 | $0.00 |
| 92134 | 0% | 12 | $0.00 | |
| 11721 | 0% | 28 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 37 | $0.00 |
| 90863 | 0% | 49 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 85 | $0.00 |
| 97164 | 0% | 15 | $0.00 | |
| 92133 | 0% | 13 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 14 | $0.00 |
| 80305 | 0% | 12 | $0.00 | |
| 97010 | 0% | 228 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 1,020 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 258 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 92002 | 0% | 52 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 93 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 39 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 12 | $0.00 |
| 1036F | 0% | 43 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 50 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 84 | $0.00 |
| 3080F | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHUMPHREY, CLAUDETTE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Katahdin Valley Health Center | Houlton, ME | $22.50M |
| Katahdin Valley Health Center | Patten, ME | $8.67M |
| Katahdin Valley Health Center | Brownville, ME | $4.41M |
| Katahdin Valley Health Center | Ashland, ME | $2.11M |
| Katahdin Valley Health Center | Dover Foxcroft, ME | $1.97M |
| Katahdin Valley Health Center | Patten, ME | $1.52M |
| Katahdin Valley Health Center | Lincoln, ME | $296K |
| Katahdin Valley Health Center | Dover Foxcroft, ME | $274K |
| Katahdin Valley Health Center | Island Falls, ME | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.