Behavioral
Bucksport Regional Health Center
Bucksport Regional Health Center was paid $13.67M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoBUCKSPORT REGIONAL HEALTH CENTER
BUCKSPORT, ME 04416
BUCKSPORT, ME 04416
33aNPI1043271133assigned 03/29/2006
33bProvider typeClinical Social Worker
28Total paid$13.67M
24GClaims196,554
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Maine
Rank by total paid#2 of 82
Median peer was paid$33K
This provider vs. median408×
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 | 19,316 | $974K | |
| 2019 | 26,898 | $1.47M | |
| 2020 | 30,459 | $1.71M | |
| 2021 | 31,525 | $1.98M | |
| 2022 | 26,988 | $1.76M | |
| 2023 | 30,617 | $3.04M | |
| 2024incomplete | 30,751 | $2.73M |
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 | 92% | 76,401 | 40,636 | $12.51M |
| 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 | 3.1% | 11,898 | 9,037 | $418K |
| 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 | 1.7% | 6,252 | 2,768 | $238K |
| 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% | 27,053 | 18,737 | $132K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 19,572 | 9,653 | $128K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,839 | 1,632 | $47K |
| 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% | 14,137 | 11,300 | $42K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 5,762 | 3,587 | $23K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,708 | 957 | $15K |
| D1110 | Prophylaxis - adult | <1% | 2,765 | 2,457 | $15K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,797 | 1,265 | $15K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 7,739 | 3,411 | $13K |
47 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 901 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 1,065 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 845 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,381 | $8K |
| D1120 | Dental cleaning, child | <1% | 2,492 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 483 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,554 | $4K |
| 80305 | <1% | 116 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 291 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 449 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 2,766 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 709 | $847.07 |
| 80053 | Comprehensive metabolic panel | <1% | 112 | $808.48 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 101 | $633.73 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 19 | $599.52 |
| 80061 | Lipid panel | <1% | 57 | $516.32 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 42 | $485.82 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 248 | $313.85 |
| Q3014 | Telehealth originating site facility fee | <1% | 63 | $302.63 |
| D0170 | <1% | 90 | $299.76 | |
| G0008 | Administration of influenza virus vaccine | <1% | 16 | $299.76 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 253 | $299.76 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 117 | $181.06 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $177.42 |
| D0330 | Panoramic radiographic image | <1% | 266 | $90.34 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,424 | $67.93 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 377 | $49.34 |
| 99000 | 0% | 584 | $0.00 | |
| D0603 | 0% | 321 | $0.00 | |
| 90694 | 0% | 15 | $0.00 | |
| 99496 | 0% | 15 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 329 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 159 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 149 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 132 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 137 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 76 | $0.00 |
| 90686 | 0% | 72 | $0.00 | |
| 85027 | 0% | 13 | $0.00 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 54 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 110 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 68 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 48 | $0.00 |
| 3725F | 0% | 16 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 28 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 28 | $0.00 |
| 99409 | 0% | 27 | $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 officialCAREW, CAROL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Bucksport Regional Health Center | Ellsworth, ME | $562K |
| Bucksport Regional Health Center | Bucksport, ME | $197K |
| Bucksport Regional Health Center | Ellsworth, ME | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.