Clinic
Sebasticook Valley Health
Sebasticook Valley Health was paid $1.33M by Medicaid between May 2020 and Dec 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoSEBASTICOOK VALLEY HEALTH
NEWPORT, ME 04953
NEWPORT, ME 04953
33aNPI1295367803assigned 02/11/2020
33bProvider typeRural Health Clinic/Center
28Total paid$1.33M
24GClaims35,185
24DCodes billed22
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#14 of 22
Median peer was paid$1.81M
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 4,578 | $165K | |
| 2021 | 8,513 | $303K | |
| 2022 | 9,112 | $331K | |
| 2023 | 7,798 | $300K | |
| 2024incomplete | 5,184 | $234K |
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 | 90% | 15,903 | 13,575 | $1.20M |
| 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 | 5.5% | 7,927 | 7,361 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 4,663 | 4,297 | $25K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 2,067 | 1,979 | $17K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 829 | 567 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 687 | 641 | $4K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 637 | 408 | $3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 160 | 148 | $1K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 211 | 164 | $912.03 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 91 | 80 | $664.49 |
| G0008 | Administration of influenza virus vaccine | <1% | 284 | 267 | $425.56 |
| 99397 | <1% | 44 | 40 | $331.73 |
10 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 27 | $189.76 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 43 | $97.03 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 808 | $48.10 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 180 | $14.51 |
| 90686 | <1% | 443 | $10.99 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 46 | $2.71 |
| 90656 | 0% | 20 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 41 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 55 | $0.00 |
| 91300 | 0% | 19 | $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 (VP OF FINANCE)
Parent organizationSEBASTICOOK VALLEY HEALTH
| Provider | Location | Paid |
|---|---|---|
| MRH Corp. | Dover Foxcroft, ME | $3.71M |
| Sebasticook Valley Health | Pittsfield, ME | $3.69M |
| Sebasticook Valley Health | Pittsfield, ME | $2.82M |
| Sebasticook Valley Health | Unity, ME | $1.39M |
| 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.