Clinic
Healthreach Community Health Centers
Healthreach Community Health Centers was paid $4.34M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoHEALTHREACH COMMUNITY HEALTH CENTERS
MADISON, ME 04950
MADISON, ME 04950
33aNPI1184698441assigned 02/14/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.34M
24GClaims70,773
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#15 of 76
Median peer was paid$1.58M
This provider vs. median2.7×
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 | 9,451 | $424K | |
| 2019 | 11,574 | $571K | |
| 2020 | 9,338 | $509K | |
| 2021 | 9,675 | $542K | |
| 2022 | 9,575 | $569K | |
| 2023 | 11,488 | $916K | |
| 2024incomplete | 9,672 | $805K |
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 | 94% | 27,640 | 20,086 | $4.08M |
| 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 | 4.1% | 5,278 | 4,489 | $177K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 527 | 401 | $37K |
| 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% | 604 | 424 | $17K |
| 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% | 8,742 | 7,816 | $13K |
| 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% | 14,251 | 12,380 | $5K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,557 | 2,391 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,653 | 1,305 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 410 | 400 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,943 | 2,803 | $627.84 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 246 | 234 | $324.56 |
| 36416 | <1% | 1,441 | 1,384 | $318.75 |
13 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 1,051 | $262.05 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 26 | $154.74 |
| 90688 | <1% | 518 | $66.28 | |
| G0008 | Administration of influenza virus vaccine | <1% | 170 | $40.02 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,305 | $12.67 |
| 90686 | 0% | 15 | $0.00 | |
| 90656 | 0% | 60 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 146 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 43 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 27 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 41 | $0.00 |
| 90715 | 0% | 26 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 53 | $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 officialCOGGINS, CONSTANCE (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Healthreach Community Health Centers | Strong, ME | $4.22M |
| Healthreach Community Health Centers | Bethel, ME | $4.16M |
| Healthreach Community Health Centers | Bingham, ME | $3.88M |
| Healthreach Community Health Centers | Albion, ME | $3.83M |
| Healthreach Community Health Centers | Livermore Falls, ME | $3.15M |
| Healthreach Community Health Centers | Coopers Mills, ME | $2.98M |
| Healthreach Community Health Centers | Belgrade, ME | $2.24M |
| Healthreach Community Health Centers | Kingfield, ME | $1.58M |
| Healthreach Community Health Centers | Rangeley, ME | $736K |
| Healthreach Community Health Centers | Fairfield, ME | $189K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.