SEBASTICOOK VALLEY HEALTH
NPI: 1295367803
· NEWPORT, ME 04953
· Rural Health Clinic/Center
$1.33M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
4,578 |
$165K |
| 2021 |
8,513 |
$303K |
| 2022 |
9,112 |
$331K |
| 2023 |
7,798 |
$300K |
| 2024 |
5,184 |
$234K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,903 |
13,575 |
$1.20M |
| 99214 |
|
7,927 |
7,361 |
$73K |
| 99213 |
|
4,663 |
4,297 |
$25K |
| 99215 |
Prolong outpt/office vis |
2,067 |
1,979 |
$17K |
| 90834 |
|
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 |
687 |
641 |
$4K |
| 90837 |
|
637 |
408 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
160 |
148 |
$1K |
| 90832 |
|
211 |
164 |
$912.03 |
| 99396 |
|
91 |
80 |
$664.49 |
| G0008 |
Administration of influenza virus vaccine |
284 |
267 |
$425.56 |
| 99397 |
|
44 |
40 |
$331.73 |
| 90791 |
|
27 |
25 |
$189.76 |
| 99395 |
|
43 |
40 |
$97.03 |
| 90471 |
|
808 |
787 |
$48.10 |
| 90472 |
|
180 |
179 |
$14.51 |
| 90686 |
|
443 |
431 |
$10.99 |
| 83036 |
|
46 |
46 |
$2.71 |
| 90656 |
|
20 |
20 |
$0.00 |
| 99392 |
|
41 |
40 |
$0.00 |
| 99394 |
|
55 |
53 |
$0.00 |
| 91300 |
|
19 |
13 |
$0.00 |