KATAHDIN VALLEY HEALTH CENTER
NPI: 1053063107
· DOVER FOXCROFT, ME 04426
· Chiropractor
· NPI assigned 01/20/2022
$274K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HUMPHREY, CLAUDETTE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,758 |
$98K |
| 2023 |
2,307 |
$168K |
| 2024 |
98 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,251 |
744 |
$250K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
965 |
566 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,200 |
699 |
$9K |
| G0467 |
Federally 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 |
171 |
97 |
$4K |
| 98940 |
|
463 |
259 |
$2K |
| 97010 |
|
46 |
30 |
$293.47 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
39 |
$5.07 |