East Grand Health Center, INC

East Grand Health Center, INC was paid $1.06M 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) — 88% of everything it billed.

33Billing provider infoEAST GRAND HEALTH CENTER, INC
DANFORTH, ME 04424

33aNPI1467489666assigned 06/26/2006

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$1.06M

24GClaims21,035

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Maine

Rank by total paid#44 of 76

Median peer was paid$1.58M

This provider vs. median0.7×

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	1,859	$57K
2019	2,904	$108K
2020	2,913	$147K
2021	2,937	$134K
2022	3,020	$131K
2023	3,723	$202K
2024incomplete	3,679	$284K

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	88%	7,084	4,846	$935K
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	7.7%	4,209	3,008	$81K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.1%	6,959	5,484	$22K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	1.1%	471	317	$12K
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%	1,254	1,051	$8K
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%	51	51	$2K
G0008	Administration of influenza virus vaccine	<1%	196	181	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	12	12	$192.94
11721		<1%	147	134	$155.05
92081		<1%	57	33	$50.42
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	84	82	$24.10
36415	Collection of venous blood by venipuncture	<1%	45	39	$19.12

8 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	46	$8.97
99000		<1%	138	$3.65
90756		<1%	37	$1.53
97802		0%	98	$0.00
90688		0%	17	$0.00
90656		0%	12	$0.00
G0127	Trimming of dystrophic nails, any number	0%	90	$0.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	28	$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 officialKNIGHTS, PRISCILLA (ADMINISTRATOR)