Clinic
Calais Community Hospital
Calais Community Hospital was paid $3.09M 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) — 93% of everything it billed.
33Billing provider infoCALAIS COMMUNITY HOSPITAL
CALAIS, ME 04619
CALAIS, ME 04619
33aNPI1134200702assigned 10/18/2006
33bProvider typeRural Health Clinic/Center
28Total paid$3.09M
24GClaims51,690
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#7 of 22
Median peer was paid$1.81M
This provider vs. median1.7×
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 | 7,943 | $461K | |
| 2019 | 8,481 | $488K | |
| 2020 | 7,045 | $427K | |
| 2021 | 6,745 | $428K | |
| 2022 | 7,750 | $429K | |
| 2023 | 7,473 | $425K | |
| 2024incomplete | 6,253 | $433K |
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 | 93% | 19,508 | 16,350 | $2.86M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 13,199 | 11,538 | $125K |
| 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 | 2.7% | 8,952 | 8,043 | $84K |
| 99347 | <1% | 330 | 306 | $6K | |
| 92551 | <1% | 424 | 422 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 613 | 556 | $2K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 13 | 13 | $2K |
| 99307 | <1% | 43 | 39 | $1K | |
| 99304 | <1% | 18 | 16 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 63 | 62 | $976.17 |
| 11721 | <1% | 3,409 | 3,273 | $962.71 | |
| 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% | 57 | 57 | $680.07 |
14 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 247 | $355.85 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 265 | $176.60 |
| 99334 | <1% | 26 | $35.85 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 274 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 635 | $0.00 |
| 2028F | 0% | 1,252 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 102 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 19 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 708 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,214 | $0.00 |
| 99406 | 0% | 32 | $0.00 | |
| 90686 | 0% | 138 | $0.00 | |
| 11055 | 0% | 137 | $0.00 | |
| 85018 | 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 officialPARR, LYNNETTE (CFO)