Portland Community Health Center
Portland Community Health Center was paid $863K by Medicaid between Sep 2020 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
WESTBROOK, ME 04092
Next to other Obstetrics & Gynecology Physician providers in Maine
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 72 | $14K | |
| 2021 | 208 | $39K | |
| 2022 | 1,217 | $150K | |
| 2023 | 2,439 | $314K | |
| 2024incomplete | 2,721 | $347K |
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 | 99% | 3,653 | 2,609 | $859K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 117 | 70 | $2K |
| 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% | 319 | 258 | $1K |
| 99188 | <1% | 932 | 929 | $613.38 | |
| D0190 | <1% | 65 | 65 | $255.38 | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 16 | 12 | $194.26 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 887 | 884 | $164.76 |
| 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% | 222 | 181 | $141.26 |
| D1206 | Topical application of fluoride varnish | 0% | 192 | 192 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 25 | 24 | $0.00 |
| 90619 | 0% | 12 | 12 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 129 | 129 | $0.00 |
2 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Portland Community Health Center | Portland, ME | $12.89M |
| Portland Community Health Center | Portland, ME | $7.45M |
| Portland Community Health Center | Portland, ME | $4.07M |
| Portland Community Health Center | South Portland, ME | $3.58M |
| Portland Community Health Center | Portland, ME | $1.23M |
| Portland Community Health Center | Portland, ME | $1.19M |
| Portland Community Health Center | Portland, ME | $1.08M |
| Portland Community Health Center | Portland, ME | $851K |
| Portland Community Health Center | Portland, ME | $815K |
| Portland Community Health Center | South Portland, ME | $595K |
| Portland Community Health Center | Portland, ME | $377K |
| Portland Community Health Center | Portland, ME | $202K |
| Portland Community Health Center | South Portland, ME | $181K |
| Portland Community Health Center | Portland, ME | $102K |
| Portland Community Health Center | Portland, ME | $22K |
| Portland Community Health Center | Portland, ME | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.