Clinic
York County Community Action Corp
York County Community Action Corp was paid $20.65M 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) — 96% of everything it billed.
33Billing provider infoYORK COUNTY COMMUNITY ACTION CORP
SPRINGVALE, ME 04083
SPRINGVALE, ME 04083
33aNPI1497923916assigned 02/19/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$20.65M
24GClaims238,566
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#3 of 76
Median peer was paid$1.58M
This provider vs. median13×
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 | 21,301 | $1.52M | |
| 2019 | 26,374 | $2.12M | |
| 2020 | 18,082 | $1.55M | |
| 2021 | 36,696 | $2.91M | |
| 2022 | 44,618 | $3.43M | |
| 2023 | 48,279 | $4.44M | |
| 2024incomplete | 43,216 | $4.68M |
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 | 96% | 94,125 | 63,370 | $19.84M |
| 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 | 2.0% | 5,446 | 4,361 | $416K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 17,045 | 8,108 | $55K |
| 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% | 21,228 | 18,116 | $49K |
| 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% | 1,599 | 763 | $46K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 677 | 482 | $40K |
| 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% | 19,168 | 16,306 | $29K |
| D1354 | <1% | 3,145 | 711 | $20K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,854 | 1,597 | $15K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,556 | 1,463 | $15K |
| D0140 | Limited oral evaluation - problem focused | <1% | 8,031 | 7,102 | $6K |
| D0270 | <1% | 2,814 | 2,626 | $6K |
83 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 209 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 3,974 | $5K |
| 0012A | <1% | 178 | $5K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 4,131 | $5K |
| G0008 | Administration of influenza virus vaccine | <1% | 484 | $5K |
| 90674 | <1% | 495 | $5K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 950 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 5,714 | $4K |
| D0330 | Panoramic radiographic image | <1% | 3,626 | $4K |
| 81025 | <1% | 50 | $4K | |
| 0031A | <1% | 265 | $4K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 3,079 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 668 | $4K |
| 0064A | <1% | 107 | $3K | |
| 0011A | <1% | 200 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 571 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,985 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,061 | $3K |
| D1351 | Sealant - per tooth | <1% | 3,124 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 561 | $3K |
| 0002A | <1% | 92 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,047 | $3K |
| D0120 | Dental checkup, returning patient | <1% | 2,377 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 1,185 | $2K |
| 99188 | <1% | 1,687 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,287 | $2K |
| 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% | 69 | $2K |
| 0001A | <1% | 93 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 58 | $2K |
| D1110 | Prophylaxis - adult | <1% | 3,415 | $1K |
| D0603 | <1% | 558 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,487 | $1K |
| D0601 | <1% | 207 | $852.24 | |
| D2332 | <1% | 316 | $824.39 | |
| 81002 | <1% | 48 | $673.74 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 100 | $658.97 |
| D1120 | Dental cleaning, child | <1% | 3,868 | $558.58 |
| D2331 | <1% | 313 | $509.82 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 325 | $454.59 |
| D1330 | <1% | 152 | $451.48 | |
| D2335 | <1% | 243 | $411.36 | |
| 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% | 102 | $408.24 |
| 0054A | <1% | 12 | $360.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 233 | $319.16 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 49 | $315.28 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 21 | $308.80 |
| D4355 | <1% | 57 | $297.43 | |
| D4341 | <1% | 431 | $297.43 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 40 | $297.43 |
| 90686 | <1% | 30 | $284.08 | |
| D2394 | <1% | 32 | $284.08 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 176 | $269.94 |
| D4342 | <1% | 58 | $251.42 | |
| D0272 | Bitewings - two radiographic images | <1% | 754 | $248.51 |
| D2330 | <1% | 272 | $68.61 | |
| 90661 | <1% | 201 | $43.39 | |
| D9993 | <1% | 146 | $28.75 | |
| 91322 | <1% | 12 | $19.81 | |
| D0602 | <1% | 151 | $19.27 | |
| 99408 | <1% | 14 | $9.30 | |
| 91303 | 0% | 109 | $0.00 | |
| 90732 | 0% | 15 | $0.00 | |
| 90651 | 0% | 270 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 384 | $0.00 |
| 90636 | 0% | 243 | $0.00 | |
| 92551 | 0% | 33 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 43 | $0.00 |
| D1310 | 0% | 34 | $0.00 | |
| 91301 | 0% | 428 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 122 | $0.00 |
| 91306 | 0% | 105 | $0.00 | |
| 90656 | 0% | 35 | $0.00 | |
| 90619 | 0% | 30 | $0.00 | |
| 91305 | 0% | 27 | $0.00 | |
| D9944 | 0% | 39 | $0.00 | |
| 91300 | 0% | 160 | $0.00 | |
| 99173 | 0% | 64 | $0.00 | |
| 90715 | 0% | 184 | $0.00 | |
| D4910 | 0% | 96 | $0.00 | |
| 90750 | 0% | 30 | $0.00 | |
| D0190 | 0% | 195 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 70 | $0.00 |
| D2950 | 0% | 12 | $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 officialMELANSON, LAURIE (DIRECTOR REVENUE INTEGIRTY)
| Provider | Location | Paid |
|---|---|---|
| York County Community Action Corp | Biddeford, ME | $242K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.