Clinic
Fish River Rural Health
Fish River Rural Health was paid $3.23M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoFISH RIVER RURAL HEALTH
EAGLE LAKE, ME 04739
EAGLE LAKE, ME 04739
33aNPI1376761288assigned 04/23/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.23M
24GClaims28,305
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#25 of 76
Median peer was paid$1.58M
This provider vs. median2.0×
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 | 3,337 | $306K | |
| 2019 | 3,457 | $315K | |
| 2020 | 3,149 | $297K | |
| 2021 | 3,285 | $326K | |
| 2022 | 3,371 | $334K | |
| 2023 | 6,140 | $812K | |
| 2024incomplete | 5,566 | $844K |
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 | 84% | 11,214 | 7,807 | $2.72M |
| 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 | 13% | 5,050 | 4,058 | $432K |
| 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% | 4,358 | 3,542 | $25K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 436 | 263 | $16K |
| 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% | 153 | 67 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,695 | 1,465 | $8K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 767 | 373 | $8K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,418 | 1,279 | $7K |
| G0008 | Administration of influenza virus vaccine | <1% | 248 | 245 | $1K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 527 | 259 | $1K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 83 | 53 | $719.41 |
| 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% | 98 | 87 | $445.43 |
16 more codes
| 90688 | <1% | 127 | $376.84 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 115 | $40.31 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $7.19 |
| D1110 | Prophylaxis - adult | 0% | 518 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 133 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 170 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 27 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 35 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 240 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 552 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 14 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 154 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 60 | $0.00 |
| 99000 | 0% | 71 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 15 | $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 officialPELLETIER, HEATHER (CEO)
| Provider | Location | Paid |
|---|---|---|
| Fish River Rural Health | Fort Kent, ME | $7.68M |
| Fish River Rural Health | Madawaska, ME | $4.92M |
| Fish River Rural Health | Fort Kent, ME | $1.25M |
| Fish River Rural Health | Van Buren, ME | $993K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.