Clinic
Sebasticook Valley Health
Sebasticook Valley Health was paid $2.82M by Medicaid between Jan 2018 and Dec 2024, across 26 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 infoSEBASTICOOK VALLEY HEALTH
PITTSFIELD, ME 04967
PITTSFIELD, ME 04967
33aNPI1063617744assigned 06/20/2007
33bProvider typeRural Health Clinic/Center
28Total paid$2.82M
24GClaims49,393
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#8 of 22
Median peer was paid$1.81M
This provider vs. median1.6×
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 | 7,191 | $341K | |
| 2019 | 7,465 | $373K | |
| 2020 | 6,998 | $363K | |
| 2021 | 7,109 | $410K | |
| 2022 | 7,929 | $514K | |
| 2023 | 7,546 | $460K | |
| 2024incomplete | 5,155 | $361K |
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% | 21,954 | 17,757 | $2.58M |
| 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 | 3.7% | 9,372 | 8,258 | $106K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 9,224 | 8,047 | $63K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 2,798 | 2,589 | $28K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,412 | 2,055 | $25K |
| 98928 | <1% | 1,187 | 1,093 | $7K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 165 | 121 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 355 | 212 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 102 | 82 | $1K |
| 98927 | <1% | 86 | 69 | $544.62 | |
| G0008 | Administration of influenza virus vaccine | <1% | 108 | 101 | $527.23 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 141 | 133 | $293.37 |
14 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 726 | $247.15 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 58 | $171.38 |
| 98929 | <1% | 29 | $82.22 | |
| 90686 | <1% | 382 | $27.45 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 57 | $0.00 |
| 99442 | 0% | 17 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 43 | $0.00 |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 0% | 16 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 26 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 26 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 26 | $0.00 |
| 90656 | 0% | 16 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 51 | $0.00 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 0% | 16 | $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 officialCLARK, RANDALL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| MRH Corp. | Dover Foxcroft, ME | $3.71M |
| Sebasticook Valley Health | Pittsfield, ME | $3.69M |
| Sebasticook Valley Health | Unity, ME | $1.39M |
| Sebasticook Valley Health | Newport, ME | $1.33M |
| Charles a Dean Memorial Hospital | Greenville, ME | $617K |
| Belle Meade Foundation INC | Richmond, MI | $172K |
| Riverwood Family Medicine PC | Grand Rapids, MI | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.