Clinic
Fish River Rural Health
Fish River Rural Health was paid $4.92M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoFISH RIVER RURAL HEALTH
MADAWASKA, ME 04756
MADAWASKA, ME 04756
33aNPI1467902668assigned 10/12/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.92M
24GClaims41,540
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#14 of 76
Median peer was paid$1.58M
This provider vs. median3.1×
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 | 1,069 | $128K | |
| 2019 | 4,400 | $460K | |
| 2020 | 5,020 | $547K | |
| 2021 | 5,762 | $665K | |
| 2022 | 8,038 | $827K | |
| 2023 | 10,288 | $1.30M | |
| 2024incomplete | 6,963 | $997K |
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 | 95% | 18,115 | 12,094 | $4.66M |
| 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 | 3.2% | 2,225 | 1,675 | $160K |
| 98940 | <1% | 1,961 | 1,235 | $39K | |
| 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% | 2,150 | 1,837 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,033 | 1,368 | $14K |
| 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% | 1,385 | 1,185 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,456 | 1,381 | $5K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 648 | 290 | $4K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,186 | 1,237 | $4K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 346 | 230 | $4K |
| 97032 | <1% | 535 | 335 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,389 | 1,298 | $603.08 |
21 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 179 | $469.78 |
| 97035 | <1% | 72 | $399.29 | |
| D0120 | Dental checkup, returning patient | <1% | 1,314 | $385.49 |
| 92015 | Determination of refractive state | <1% | 1,839 | $370.90 |
| D1120 | Dental cleaning, child | <1% | 581 | $276.14 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 554 | $230.51 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 75 | $144.58 |
| 36415 | Collection of venous blood by venipuncture | <1% | 46 | $34.30 |
| D0330 | Panoramic radiographic image | 0% | 258 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 81 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 653 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 101 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 28 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 14 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 15 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 58 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 59 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 121 | $0.00 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 33 | $0.00 |
| D1330 | 0% | 16 | $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 (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Fish River Rural Health | Fort Kent, ME | $7.68M |
| Fish River Rural Health | Eagle Lake, ME | $3.23M |
| 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.