Clinic
Fish River Rural Health
Fish River Rural Health was paid $7.68M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoFISH RIVER RURAL HEALTH
FORT KENT, ME 04743
FORT KENT, ME 04743
33aNPI1568838928assigned 08/19/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.68M
24GClaims73,842
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#8 of 76
Median peer was paid$1.58M
This provider vs. median4.9×
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 | 2,680 | $290K | |
| 2019 | 7,294 | $666K | |
| 2020 | 7,140 | $702K | |
| 2021 | 11,585 | $1.03M | |
| 2022 | 12,319 | $1.12M | |
| 2023 | 17,103 | $1.87M | |
| 2024incomplete | 15,721 | $2.00M |
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 | 91% | 28,625 | 18,708 | $7.00M |
| 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 | 5.4% | 5,544 | 4,203 | $413K |
| 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% | 10,002 | 7,753 | $48K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 743 | 403 | $45K |
| 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% | 597 | 277 | $43K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,774 | 1,113 | $26K |
| 98940 | <1% | 1,996 | 1,312 | $25K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 4,264 | 2,116 | $17K |
| 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% | 3,317 | 2,843 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,823 | 2,616 | $15K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 530 | 483 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,926 | 1,793 | $5K |
37 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 505 | $3K |
| 97032 | <1% | 1,624 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,057 | $2K |
| 99442 | <1% | 26 | $2K | |
| 99000 | <1% | 495 | $1K | |
| 99443 | <1% | 13 | $1K | |
| G0008 | Administration of influenza virus vaccine | <1% | 128 | $894.05 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 176 | $861.06 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 175 | $427.49 |
| 99173 | <1% | 220 | $417.46 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 437 | $406.90 |
| 11721 | <1% | 12 | $370.11 | |
| D0120 | Dental checkup, returning patient | <1% | 1,303 | $266.03 |
| D0140 | Limited oral evaluation - problem focused | <1% | 82 | $266.03 |
| D1110 | Prophylaxis - adult | <1% | 784 | $266.03 |
| D1120 | Dental cleaning, child | <1% | 555 | $238.18 |
| G0127 | Trimming of dystrophic nails, any number | <1% | 214 | $205.38 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 97 | $152.57 |
| 11056 | <1% | 67 | $115.23 | |
| 92015 | Determination of refractive state | <1% | 2,095 | $12.15 |
| 87807 | <1% | 44 | $10.63 | |
| 92133 | <1% | 13 | $7.81 | |
| 97035 | <1% | 25 | $1.81 | |
| D1206 | Topical application of fluoride varnish | 0% | 59 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 66 | $0.00 |
| 90686 | 0% | 38 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 131 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 13 | $0.00 |
| 90656 | 0% | 12 | $0.00 | |
| 90688 | 0% | 16 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 23 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 12 | $0.00 |
| D9110 | 0% | 132 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 12 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 14 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 12 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 14 | $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 | Madawaska, ME | $4.92M |
| 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.