Katahdin Valley Health Center
Katahdin Valley Health Center was paid $4.41M by Medicaid between Jan 2018 and Dec 2024, across 62 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 infoKATAHDIN VALLEY HEALTH CENTER
BROWNVILLE, ME 04414
BROWNVILLE, ME 04414
33aNPI1053787721assigned 08/18/2015
33bProvider typeOptometrist
28Total paid$4.41M
24GClaims58,347
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Maine
Rank by total paid#4 of 94
Median peer was paid$70K
This provider vs. median63×
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 | 2,923 | $275K | |
| 2019 | 3,293 | $334K | |
| 2020 | 6,586 | $531K | |
| 2021 | 7,593 | $623K | |
| 2022 | 9,836 | $823K | |
| 2023 | 17,136 | $1.05M | |
| 2024incomplete | 10,980 | $773K |
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% | 18,647 | 12,128 | $4.08M |
| 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 | 5.7% | 4,586 | 2,954 | $249K |
| 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% | 6,012 | 4,985 | $30K |
| 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% | 5,305 | 4,410 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,787 | 1,941 | $16K |
| 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% | 74 | 66 | $8K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,924 | 831 | $3K |
| G0008 | Administration of influenza virus vaccine | <1% | 212 | 202 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,570 | 2,298 | $971.49 |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 | <1% | 20 | 19 | $957.96 |
| 98940 | <1% | 924 | 422 | $776.90 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 42 | 40 | $702.27 |
50 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 134 | $552.24 |
| 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% | 379 | $444.51 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $273.16 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 40 | $261.59 |
| D0330 | Panoramic radiographic image | <1% | 109 | $252.01 |
| D1206 | Topical application of fluoride varnish | <1% | 145 | $241.47 |
| 92551 | <1% | 1,079 | $221.85 | |
| 90688 | <1% | 43 | $155.68 | |
| 99173 | <1% | 857 | $119.92 | |
| 98927 | <1% | 37 | $90.72 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 127 | $75.58 |
| 11721 | <1% | 81 | $36.80 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 171 | $31.87 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 340 | $29.69 |
| 90686 | <1% | 19 | $18.97 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 82 | $17.85 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 12 | $16.63 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 158 | $14.96 |
| 3078F | <1% | 1,691 | $1.38 | |
| 81002 | <1% | 28 | $0.96 | |
| 3725F | <1% | 264 | $0.31 | |
| 96127 | <1% | 1,215 | $0.29 | |
| 3079F | <1% | 390 | $0.24 | |
| 3074F | <1% | 1,793 | $0.14 | |
| 1160F | <1% | 1,474 | $0.10 | |
| 3008F | <1% | 2,055 | $0.10 | |
| 2028F | <1% | 13 | $0.03 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 127 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 69 | $0.00 |
| 11720 | 0% | 29 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 170 | $0.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 15 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 136 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 36 | $0.00 |
| D0460 | 0% | 18 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 30 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 41 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 36 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 33 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 107 | $0.00 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 89 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 199 | $0.00 |
| 3075F | 0% | 173 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 35 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 35 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 30 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 44 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 18 | $0.00 |
| 93000 | 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 | Millinocket, ME | $9.99M |
| Katahdin Valley Health Center | Patten, ME | $8.67M |
| 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.