Behavioral
Pines Health Services
Pines Health Services was paid $3.69M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoPINES HEALTH SERVICES
PRESQUE ISLE, ME 04769
PRESQUE ISLE, ME 04769
33aNPI1518283126assigned 04/08/2010
33bProvider typeClinical Social Worker
28Total paid$3.69M
24GClaims55,794
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Maine
Rank by total paid#7 of 82
Median peer was paid$33K
This provider vs. median110×
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 | 8,268 | $297K | |
| 2019 | 7,496 | $294K | |
| 2020 | 6,354 | $282K | |
| 2021 | 7,242 | $339K | |
| 2022 | 7,950 | $426K | |
| 2023 | 11,021 | $1.06M | |
| 2024incomplete | 7,463 | $994K |
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 | 82% | 19,648 | 16,241 | $3.03M |
| 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 | 8.4% | 6,651 | 5,569 | $310K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 11,393 | 9,806 | $193K |
| 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 | 2.4% | 9,500 | 8,238 | $88K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 2,164 | 1,914 | $46K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 89 | 65 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 102 | 89 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 116 | 98 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 115 | 97 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 638 | 615 | $1K |
| 90756 | <1% | 299 | 288 | $1K | |
| 99441 | <1% | 121 | 108 | $623.18 |
26 more codes
| 99442 | <1% | 38 | $527.68 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $525.25 |
| 82962 | <1% | 731 | $416.41 | |
| 99000 | <1% | 25 | $308.65 | |
| G0008 | Administration of influenza virus vaccine | <1% | 248 | $132.82 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 226 | $119.09 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 30 | $90.03 |
| 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% | 29 | $59.44 |
| 81002 | <1% | 664 | $52.23 | |
| 90686 | <1% | 79 | $34.55 | |
| 90694 | <1% | 67 | $25.60 | |
| 94760 | <1% | 2,065 | $21.27 | |
| 96160 | 0% | 25 | $0.00 | |
| 90653 | 0% | 16 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 28 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 98 | $0.00 |
| 91312 | 0% | 12 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 36 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 25 | $0.00 |
| 91322 | 0% | 14 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 349 | $0.00 |
| 90656 | 0% | 50 | $0.00 | |
| 90677 | 0% | 14 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 12 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 52 | $0.00 |
| 90480 | 0% | 13 | $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 officialCARON, LISA (COO)
Parent organizationPINES HEALTH SERVICES
| Provider | Location | Paid |
|---|---|---|
| Pines Health Services | Caribou, ME | $7.57M |
| Pines Health Services | Caribou, ME | $7.06M |
| Pines Health Services | Van Buren, ME | $2.98M |
| Maine Administrative School District No 61 | Bridgton, ME | $189K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.