Behavioral
Pines Health Services
Pines Health Services was paid $7.06M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoPINES HEALTH SERVICES
CARIBOU, ME 04736
CARIBOU, ME 04736
33aNPI1528383262assigned 04/06/2010
33bProvider typeClinical Social Worker
28Total paid$7.06M
24GClaims91,865
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Maine
Rank by total paid#5 of 82
Median peer was paid$33K
This provider vs. median211×
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 | 19,412 | $1.06M | |
| 2019 | 20,940 | $1.17M | |
| 2020 | 7,891 | $491K | |
| 2021 | 6,774 | $450K | |
| 2022 | 11,670 | $789K | |
| 2023 | 14,021 | $1.52M | |
| 2024incomplete | 11,157 | $1.59M |
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 | 90% | 38,142 | 26,927 | $6.35M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 19,528 | 13,764 | $329K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 5,363 | 3,974 | $155K |
| 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% | 3,670 | 3,243 | $69K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 417 | 196 | $47K |
| 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 | <1% | 793 | 591 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,896 | 1,722 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,654 | 1,557 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 943 | 910 | $13K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 829 | 772 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,358 | 4,146 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,378 | 2,257 | $4K |
42 more codes
| 59025 | Fetal non-stress test | <1% | 286 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 459 | $2K |
| 99000 | <1% | 63 | $681.52 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $643.68 |
| D0140 | Limited oral evaluation - problem focused | <1% | 721 | $623.38 |
| D1206 | Topical application of fluoride varnish | <1% | 1,179 | $541.56 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 332 | $509.55 |
| 96160 | <1% | 297 | $314.96 | |
| D1120 | Dental cleaning, child | <1% | 519 | $314.36 |
| 90715 | <1% | 162 | $313.80 | |
| D1110 | Prophylaxis - adult | <1% | 547 | $312.02 |
| D0274 | Bitewings - four radiographic images | <1% | 296 | $312.02 |
| D0120 | Dental checkup, returning patient | <1% | 354 | $247.85 |
| 90756 | <1% | 106 | $240.73 | |
| 90474 | <1% | 560 | $227.04 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 404 | $158.35 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 753 | $156.01 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 244 | $86.07 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 293 | $69.28 |
| 81002 | <1% | 412 | $43.27 | |
| 81025 | 0% | 235 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 50 | $0.00 |
| 90671 | 0% | 113 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 212 | $0.00 |
| 90670 | 0% | 122 | $0.00 | |
| 90633 | 0% | 48 | $0.00 | |
| 94150 | 0% | 15 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 1,325 | $0.00 |
| 90697 | 0% | 300 | $0.00 | |
| 90680 | 0% | 74 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 17 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 88 | $0.00 |
| 90677 | 0% | 201 | $0.00 | |
| 85018 | 0% | 385 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 145 | $0.00 |
| 36416 | 0% | 206 | $0.00 | |
| 94760 | 0% | 82 | $0.00 | |
| 90686 | 0% | 103 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 86 | $0.00 |
| 90656 | 0% | 43 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 16 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 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 officialCARON, LISA (COO)
Parent organizationPINES HEALTH SERVICES
| Provider | Location | Paid |
|---|---|---|
| Pines Health Services | Caribou, ME | $7.57M |
| Pines Health Services | Presque Isle, ME | $3.69M |
| 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.