SEBASTICOOK VALLEY HEALTH
NPI: 1063617744
· PITTSFIELD, ME 04967
· 261QR1300X
$2.82M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,191 |
$341K |
| 2019 |
7,465 |
$373K |
| 2020 |
6,998 |
$363K |
| 2021 |
7,109 |
$410K |
| 2022 |
7,929 |
$514K |
| 2023 |
7,546 |
$460K |
| 2024 |
5,155 |
$361K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
21,954 |
17,757 |
$2.58M |
| 99214 |
|
9,372 |
8,258 |
$106K |
| 99213 |
|
9,224 |
8,047 |
$63K |
| 99215 |
Prolong outpt/office vis |
2,798 |
2,589 |
$28K |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,412 |
2,055 |
$25K |
| 98928 |
|
1,187 |
1,093 |
$7K |
| 90837 |
|
165 |
121 |
$3K |
| 90832 |
|
355 |
212 |
$2K |
| 90834 |
|
102 |
82 |
$1K |
| 98927 |
|
86 |
69 |
$544.62 |
| G0008 |
Admin influenza virus vac |
108 |
101 |
$527.23 |
| 99212 |
|
141 |
133 |
$293.37 |
| 90471 |
|
726 |
685 |
$247.15 |
| G0439 |
Ppps, subseq visit |
58 |
54 |
$171.38 |
| 98929 |
|
29 |
26 |
$82.22 |
| 90686 |
|
382 |
353 |
$27.45 |
| 90472 |
|
57 |
57 |
$0.00 |
| 99442 |
|
17 |
16 |
$0.00 |
| 99395 |
|
43 |
39 |
$0.00 |
| U0004 |
Cov-19 test non-cdc hgh thru |
16 |
13 |
$0.00 |
| 99393 |
|
26 |
25 |
$0.00 |
| 99394 |
|
26 |
26 |
$0.00 |
| 99396 |
|
26 |
26 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 96372 |
|
51 |
29 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
16 |
13 |
$0.00 |