Clinic
Sebasticook Valley Health
Sebasticook Valley Health was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoSEBASTICOOK VALLEY HEALTH
UNITY, ME 04988
UNITY, ME 04988
33aNPI1427181486assigned 03/13/2007
33bProvider typeRural Health Clinic/Center
28Total paid$1.39M
24GClaims24,812
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#13 of 22
Median peer was paid$1.81M
This provider vs. median0.8×
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 | 3,374 | $161K | |
| 2019 | 3,235 | $163K | |
| 2020 | 3,329 | $183K | |
| 2021 | 4,778 | $267K | |
| 2022 | 4,147 | $222K | |
| 2023 | 3,366 | $211K | |
| 2024incomplete | 2,583 | $184K |
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 | 93% | 11,457 | 9,586 | $1.29M |
| 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 | 4.7% | 6,758 | 6,059 | $65K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 4,676 | 4,194 | $30K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 431 | 416 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 153 | 151 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 141 | 130 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 28 | 28 | $924.09 |
| 36415 | Collection of venous blood by venipuncture | <1% | 91 | 90 | $879.58 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 48 | 40 | $877.75 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 395 | 351 | $685.85 |
| 80061 | Lipid panel | <1% | 13 | 13 | $340.66 |
| Q3014 | Telehealth originating site facility fee | <1% | 89 | 88 | $317.20 |
8 more codes
| 90686 | <1% | 81 | $297.61 | |
| 99406 | <1% | 199 | $149.11 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $47.25 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 64 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 24 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 38 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 22 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 92 | $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 (PRESIDENT)
| 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 | Newport, ME | $1.33M |
| 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.