Clinic
Katahdin Valley Health Center
Katahdin Valley Health Center was paid $22.50M by Medicaid between Jan 2018 and Dec 2024, across 95 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 infoKATAHDIN VALLEY HEALTH CENTER
HOULTON, ME 04730
HOULTON, ME 04730
33aNPI1376618546assigned 11/22/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$22.50M
24GClaims318,422
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#2 of 76
Median peer was paid$1.58M
This provider vs. median14×
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 | 25,923 | $1.89M | |
| 2019 | 38,512 | $2.74M | |
| 2020 | 37,287 | $2.73M | |
| 2021 | 48,266 | $3.55M | |
| 2022 | 45,677 | $3.62M | |
| 2023 | 59,086 | $4.02M | |
| 2024incomplete | 63,671 | $3.96M |
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% | 95,210 | 66,629 | $20.27M |
| 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 | 5.7% | 18,521 | 13,485 | $1.29M |
| 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 | 2.1% | 3,815 | 3,139 | $472K |
| 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% | 49,668 | 39,960 | $147K |
| 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% | 884 | 865 | $107K |
| 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% | 13,802 | 11,999 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17,271 | 12,081 | $38K |
| 98940 | <1% | 9,319 | 5,814 | $22K | |
| 99406 | <1% | 1,048 | 941 | $11K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,615 | 2,539 | $9K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,473 | 693 | $9K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,225 | 1,071 | $9K |
83 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 119 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 4,215 | $8K |
| G0008 | Administration of influenza virus vaccine | <1% | 1,063 | $7K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,958 | $6K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 392 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,099 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,009 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,282 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,628 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 763 | $3K |
| 81002 | <1% | 2,949 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,163 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 926 | $2K |
| 11721 | <1% | 1,481 | $2K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 362 | $2K |
| D1120 | Dental cleaning, child | <1% | 1,599 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 652 | $1K |
| 80305 | <1% | 314 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 217 | $1K |
| 92551 | <1% | 4,393 | $1K | |
| 3078F | <1% | 5,490 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 419 | $1K |
| G0009 | Administration of pneumococcal vaccine | <1% | 150 | $990.53 |
| 90688 | <1% | 198 | $987.16 | |
| D1110 | Prophylaxis - adult | <1% | 1,100 | $958.11 |
| 3725F | <1% | 926 | $799.01 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,881 | $762.74 |
| 99173 | <1% | 3,172 | $709.64 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 83 | $631.33 |
| 3080F | <1% | 290 | $600.15 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 731 | $573.20 |
| 3079F | <1% | 2,366 | $557.42 | |
| D0330 | Panoramic radiographic image | <1% | 651 | $535.20 |
| D0120 | Dental checkup, returning patient | <1% | 970 | $475.17 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 141 | $437.69 |
| 99188 | <1% | 70 | $325.61 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 282 | $309.19 |
| 96127 | <1% | 5,371 | $287.55 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,084 | $286.09 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,697 | $254.50 |
| D0274 | Bitewings - four radiographic images | <1% | 210 | $252.01 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 868 | $246.43 |
| D0272 | Bitewings - two radiographic images | <1% | 592 | $238.14 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,371 | $235.14 |
| G0127 | Trimming of dystrophic nails, any number | <1% | 279 | $230.25 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,085 | $229.36 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,935 | $119.52 |
| 90686 | <1% | 178 | $94.21 | |
| 0134A | <1% | 37 | $63.43 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 2,272 | $27.48 |
| 93000 | <1% | 77 | $20.70 | |
| 81025 | <1% | 129 | $14.87 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 453 | $5.78 |
| 1160F | <1% | 4,750 | $0.81 | |
| 3008F | <1% | 8,823 | $0.51 | |
| 3074F | <1% | 6,195 | $0.41 | |
| 2028F | <1% | 360 | $0.24 | |
| 3075F | <1% | 1,494 | $0.12 | |
| 3077F | <1% | 492 | $0.04 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 309 | $0.00 |
| 11719 | 0% | 1,191 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 16 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 317 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 970 | $0.00 |
| 11056 | 0% | 13 | $0.00 | |
| 90863 | 0% | 65 | $0.00 | |
| 0013A | 0% | 26 | $0.00 | |
| 99401 | 0% | 42 | $0.00 | |
| 69209 | 0% | 29 | $0.00 | |
| 91313 | 0% | 16 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 14 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 521 | $0.00 |
| 1036F | 0% | 112 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 62 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 277 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 86 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 86 | $0.00 |
| 91301 | 0% | 27 | $0.00 | |
| 36416 | 0% | 44 | $0.00 | |
| 99070 | 0% | 54 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 13 | $0.00 |
| 97162 | 0% | 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 officialHUMPHREY, CLAUDETTE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Katahdin Valley Health Center | Millinocket, ME | $9.99M |
| Katahdin Valley Health Center | Patten, ME | $8.67M |
| Katahdin Valley Health Center | Brownville, ME | $4.41M |
| Katahdin Valley Health Center | Ashland, ME | $2.11M |
| Katahdin Valley Health Center | Dover Foxcroft, ME | $1.97M |
| Katahdin Valley Health Center | Patten, ME | $1.52M |
| Katahdin Valley Health Center | Lincoln, ME | $296K |
| Katahdin Valley Health Center | Dover Foxcroft, ME | $274K |
| Katahdin Valley Health Center | Island Falls, ME | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.