Clinic
Rumford Community Family Health Center, INC.
Rumford Community Family Health Center, INC. was paid $6.67M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoRUMFORD COMMUNITY FAMILY HEALTH CENTER, INC.
RUMFORD, ME 04276
RUMFORD, ME 04276
33aNPI1578599775assigned 06/23/2006
33bProvider typeRural Health Clinic/Center
28Total paid$6.67M
24GClaims92,570
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#3 of 22
Median peer was paid$1.81M
This provider vs. median3.7×
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 | 14,315 | $692K | |
| 2019 | 16,308 | $838K | |
| 2020 | 13,255 | $1.22M | |
| 2021 | 12,192 | $1.13M | |
| 2022 | 17,034 | $1.02M | |
| 2023 | 13,429 | $1.12M | |
| 2024incomplete | 6,037 | $659K |
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 | 94% | 36,114 | 28,990 | $6.24M |
| 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 | 3.1% | 17,014 | 14,747 | $208K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 21,472 | 18,545 | $170K |
| 98928 | <1% | 621 | 487 | $9K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 145 | 143 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,713 | 1,407 | $7K |
| 59426 | <1% | 844 | 527 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 210 | 170 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 345 | 273 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 278 | 268 | $2K |
| 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% | 187 | 184 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,212 | 1,099 | $1K |
33 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 337 | $1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 55 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,101 | $892.42 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 889 | $847.30 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 953 | $669.74 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 67 | $494.39 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 480 | $401.93 |
| 90715 | <1% | 491 | $305.43 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $276.30 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12 | $241.18 |
| 99349 | <1% | 24 | $185.44 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,151 | $180.06 |
| 90686 | <1% | 685 | $95.59 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 128 | $94.55 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 27 | $65.55 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 13 | $43.50 |
| 99443 | <1% | 15 | $21.80 | |
| 90670 | <1% | 671 | $0.03 | |
| 90698 | <1% | 287 | $0.02 | |
| 90744 | <1% | 80 | $0.01 | |
| 90651 | <1% | 76 | $0.01 | |
| 90633 | <1% | 206 | $0.01 | |
| 90710 | <1% | 121 | $0.01 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 29 | $0.01 |
| 90656 | 0% | 16 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90696 | 0% | 42 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 38 | $0.00 |
| 90734 | 0% | 306 | $0.00 | |
| 90685 | 0% | 39 | $0.00 | |
| 99442 | 0% | 25 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90649 | 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 officialKROGER, JOHN (DIVISION CHIEF)
| Provider | Location | Paid |
|---|---|---|
| Rumford Community Family Health Center, INC. | Dixfield, ME | $2.60M |
| Rumford Community Family Health Center INC. | Rumford, ME | $42K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.