Physician
Sebasticook Family Doctors
Sebasticook Family Doctors was paid $7.41M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoSEBASTICOOK FAMILY DOCTORS
NEWPORT, ME 04953
NEWPORT, ME 04953
33aNPI1063464634assigned 05/16/2006
33bProvider typeFamily Medicine Physician
28Total paid$7.41M
24GClaims90,747
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Maine
Rank by total paid#3 of 84
Median peer was paid$67K
This provider vs. median110×
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 | 7,732 | $502K | |
| 2019 | 16,170 | $1.12M | |
| 2020 | 14,076 | $938K | |
| 2021 | 15,425 | $1.04M | |
| 2022 | 19,097 | $1.31M | |
| 2023 | 12,840 | $1.46M | |
| 2024incomplete | 5,407 | $1.03M |
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 | 80% | 34,053 | 24,702 | $5.95M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 15,707 | 13,640 | $444K |
| 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 | 3.8% | 4,753 | 4,183 | $281K |
| 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 | 2.8% | 7,079 | 6,503 | $207K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 4,689 | 4,364 | $133K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 3,644 | 2,383 | $98K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 2,779 | 1,857 | $82K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 920 | 897 | $37K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,012 | 1,003 | $33K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,520 | 1,436 | $17K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 122 | 119 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 901 | 898 | $14K |
29 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 420 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 644 | $14K |
| 87428 | <1% | 390 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,527 | $9K |
| G0008 | Administration of influenza virus vaccine | <1% | 1,702 | $8K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,018 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 782 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,127 | $5K |
| 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% | 62 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 357 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 434 | $3K |
| 90674 | <1% | 196 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 165 | $2K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 67 | $1K |
| 0031A | <1% | 60 | $993.65 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 145 | $364.06 |
| 81002 | <1% | 168 | $301.73 | |
| 99188 | <1% | 12 | $240.00 | |
| 90686 | <1% | 531 | $192.46 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 107 | $150.11 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 56 | $61.07 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 77 | $30.32 |
| 0011A | <1% | 13 | $15.87 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 260 | $0.00 |
| 91303 | 0% | 57 | $0.00 | |
| 90620 | 0% | 52 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 27 | $0.00 |
| 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 | 0% | 98 | $0.00 |
| 90734 | 0% | 14 | $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 officialWINSLOW, ROBIN (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Sebasticook Family Doctors | Dexter, ME | $4.28M |
| Sebasticook Family Doctors | Newport, ME | $395K |
| Sebasticook Family Doctors | Pittsfield, ME | $245K |
| Sebasticook Family Doctors | Dover Foxcroft, ME | $195K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.