Clinic
Sacopee Valley Health Center
Sacopee Valley Health Center was paid $858K by Medicaid between Mar 2023 and Dec 2024, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoSACOPEE VALLEY HEALTH CENTER
CORNISH, ME 04020
CORNISH, ME 04020
33aNPI1316697154assigned 03/25/2022
33bProvider typeClinic/Center
28Total paid$858K
24GClaims8,362
24DCodes billed10
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Maine
Rank by total paid#5 of 16
Median peer was paid$49K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2023 | 4,055 | $370K | |
| 2024incomplete | 4,307 | $489K |
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 | 98% | 4,006 | 3,189 | $843K |
| 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% | 2,358 | 1,950 | $5K |
| 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% | 1,185 | 999 | $5K |
| 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 | <1% | 57 | 56 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 245 | 214 | $279.58 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 384 | 330 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 87 | 84 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 14 | 13 | $0.00 |
| 81002 | 0% | 13 | 12 | $0.00 | |
| 99000 | 0% | 13 | 13 | $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 officialEASTMAN, MICHELLE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sacopee Valley Health Center | Porter, ME | $10.56M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.