Physician
Portland Community Health Center
Portland Community Health Center was paid $12.89M by Medicaid between Jan 2018 and Dec 2024, across 100 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 infoPORTLAND COMMUNITY HEALTH CENTER
PORTLAND, ME 04102
PORTLAND, ME 04102
33aNPI1609120856assigned 11/08/2012
33bProvider typeObstetrics & Gynecology Physician
28Total paid$12.89M
24GClaims188,100
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Maine
Rank by total paid#1 of 28
Median peer was paid$202K
This provider vs. median64×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TUCKER, ANN controls 16+ related entities in our dataset. Read more
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 | 32,690 | $2.01M | |
| 2019 | 39,303 | $2.25M | |
| 2020 | 25,759 | $1.77M | |
| 2021 | 22,520 | $1.69M | |
| 2022 | 27,652 | $1.86M | |
| 2023 | 21,812 | $1.70M | |
| 2024incomplete | 18,364 | $1.61M |
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% | 64,681 | 44,172 | $11.69M |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 2.3% | 7,773 | 6,823 | $294K |
| 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 | 1.5% | 3,349 | 2,776 | $192K |
| 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 | 1.2% | 17,824 | 15,049 | $149K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.1% | 1,856 | 1,350 | $136K |
| 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% | 17,983 | 14,925 | $104K |
| 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% | 1,036 | 521 | $58K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 5,029 | 3,084 | $50K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,331 | 2,669 | $35K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 4,312 | 2,402 | $32K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 2,382 | 2,035 | $20K |
| G0008 | Administration of influenza virus vaccine | <1% | 3,404 | 3,148 | $16K |
88 more codes
| 90480 | <1% | 333 | $12K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 481 | $11K |
| 91322 | <1% | 132 | $10K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,685 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,578 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,107 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 5,377 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,922 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 993 | $3K |
| 0134A | <1% | 103 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 414 | $3K |
| 99000 | <1% | 848 | $3K | |
| 0124A | <1% | 88 | $3K | |
| 0064A | <1% | 106 | $3K | |
| 0031A | <1% | 173 | $2K | |
| 0011A | <1% | 98 | $2K | |
| D0120 | Dental checkup, returning patient | <1% | 922 | $2K |
| 0012A | <1% | 98 | $2K | |
| 0071A | <1% | 71 | $2K | |
| 0072A | <1% | 63 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 917 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,955 | $2K |
| 0111A | <1% | 45 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 1,459 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 144 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 605 | $1K |
| 0001A | <1% | 26 | $932.25 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,946 | $798.64 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,688 | $788.45 |
| 90461 | <1% | 2,952 | $757.09 | |
| D1120 | Dental cleaning, child | <1% | 3,574 | $690.00 |
| D0330 | Panoramic radiographic image | <1% | 606 | $656.52 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 267 | $570.74 |
| D1351 | Sealant - per tooth | <1% | 3,195 | $568.52 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 481 | $561.57 |
| 90715 | <1% | 823 | $548.41 | |
| 0164A | <1% | 13 | $508.43 | |
| 0002A | <1% | 12 | $447.48 | |
| G0010 | Administration of hepatitis b vaccine | <1% | 13 | $406.21 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 754 | $375.31 |
| D0274 | Bitewings - four radiographic images | <1% | 684 | $375.31 |
| D0272 | Bitewings - two radiographic images | <1% | 593 | $222.32 |
| 91306 | <1% | 100 | $199.44 | |
| 90686 | <1% | 665 | $192.64 | |
| 90707 | <1% | 590 | $186.26 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | $186.26 |
| 90744 | <1% | 899 | $100.22 | |
| 90651 | <1% | 598 | $98.46 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $77.66 |
| 99188 | <1% | 327 | $68.52 | |
| 90713 | <1% | 1,168 | $63.82 | |
| 99423 | <1% | 20 | $33.27 | |
| 90633 | <1% | 1,563 | $33.15 | |
| 90698 | 0% | 471 | $0.00 | |
| D1352 | 0% | 25 | $0.00 | |
| 90680 | 0% | 90 | $0.00 | |
| 90656 | 0% | 244 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 77 | $0.00 |
| 91307 | 0% | 164 | $0.00 | |
| 90677 | 0% | 123 | $0.00 | |
| 91301 | 0% | 132 | $0.00 | |
| 91314 | 0% | 26 | $0.00 | |
| 90619 | 0% | 17 | $0.00 | |
| 91316 | 0% | 13 | $0.00 | |
| 90716 | 0% | 199 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 25 | $0.00 |
| 99422 | 0% | 31 | $0.00 | |
| 91309 | 0% | 41 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 19 | $0.00 |
| D7111 | 0% | 16 | $0.00 | |
| 91303 | 0% | 57 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 44 | $0.00 |
| 86580 | 0% | 17 | $0.00 | |
| 90647 | 0% | 16 | $0.00 | |
| 90723 | 0% | 17 | $0.00 | |
| 0094A | 0% | 12 | $0.00 | |
| 91313 | 0% | 100 | $0.00 | |
| 90700 | 0% | 230 | $0.00 | |
| 91321 | 0% | 185 | $0.00 | |
| 91300 | 0% | 191 | $0.00 | |
| 90714 | 0% | 222 | $0.00 | |
| 90670 | 0% | 334 | $0.00 | |
| 91311 | 0% | 122 | $0.00 | |
| 90734 | 0% | 296 | $0.00 | |
| 90710 | 0% | 117 | $0.00 | |
| 81002 | 0% | 31 | $0.00 | |
| 91312 | 0% | 86 | $0.00 | |
| 99173 | 0% | 18 | $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 officialTUCKER, ANN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Portland Community Health Center | Portland, ME | $7.45M |
| Portland Community Health Center | Portland, ME | $4.07M |
| Portland Community Health Center | South Portland, ME | $3.58M |
| Portland Community Health Center | Portland, ME | $1.23M |
| Portland Community Health Center | Portland, ME | $1.19M |
| Portland Community Health Center | Portland, ME | $1.08M |
| Portland Community Health Center | Westbrook, ME | $863K |
| Portland Community Health Center | Portland, ME | $851K |
| Portland Community Health Center | Portland, ME | $815K |
| Portland Community Health Center | South Portland, ME | $595K |
| Portland Community Health Center | Portland, ME | $377K |
| Portland Community Health Center | Portland, ME | $202K |
| Portland Community Health Center | South Portland, ME | $181K |
| Portland Community Health Center | Portland, ME | $102K |
| Portland Community Health Center | Portland, ME | $22K |
| Portland Community Health Center | Portland, ME | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.