Clinic
Katahdin Valley Health Center
Katahdin Valley Health Center was paid $1.97M by Medicaid between Dec 2023 and Dec 2024, across 58 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 infoKATAHDIN VALLEY HEALTH CENTER
DOVER FOXCROFT, ME 04426
DOVER FOXCROFT, ME 04426
33aNPI1609577634assigned 03/16/2023
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.97M
24GClaims25,409
24DCodes billed58
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#36 of 76
Median peer was paid$1.58M
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2023 | 145 | $11K | |
| 2024incomplete | 25,264 | $1.96M |
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% | 7,612 | 5,173 | $1.86M |
| 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 | 2.6% | 1,007 | 704 | $51K |
| 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 | 1.7% | 139 | 132 | $33K |
| 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% | 2,234 | 1,865 | $7K |
| 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% | 1,400 | 1,221 | $3K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% | 54 | 54 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,823 | 863 | $2K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 646 | 403 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 82 | 81 | $1K |
| 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% | 242 | 237 | $1K |
| 99406 | <1% | 39 | 37 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 490 | 449 | $836.36 |
46 more codes
| 92002 | <1% | 236 | $573.18 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 379 | $555.13 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 208 | $377.25 |
| 81002 | <1% | 182 | $322.32 | |
| 98940 | <1% | 242 | $311.66 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 18 | $300.06 |
| 3078F | <1% | 1,243 | $286.98 | |
| 96127 | <1% | 865 | $286.81 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 649 | $231.69 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 144 | $203.61 |
| 97164 | <1% | 100 | $177.98 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 115 | $131.14 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 39 | $118.89 |
| 90656 | <1% | 13 | $65.44 | |
| 99070 | <1% | 27 | $24.37 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 130 | $10.46 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 177 | $3.65 |
| 3008F | <1% | 1,749 | $0.21 | |
| 3074F | <1% | 1,310 | $0.18 | |
| 3079F | <1% | 268 | $0.10 | |
| 3077F | <1% | 70 | $0.09 | |
| 3075F | <1% | 136 | $0.01 | |
| 92551 | 0% | 314 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 188 | $0.00 |
| 3080F | 0% | 24 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 39 | $0.00 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 0% | 53 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 25 | $0.00 |
| 97162 | 0% | 12 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 16 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 15 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 56 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 26 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 26 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $0.00 |
| V2020 | Frames, purchases | 0% | 27 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 24 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 146 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 78 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 56 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 16 | $0.00 |
| 1160F | 0% | 135 | $0.00 | |
| 98927 | 0% | 13 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 15 | $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 officialHUMPHREY, CLAUDETTE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Katahdin Valley Health Center | Houlton, ME | $22.50M |
| Katahdin Valley Health Center | Millinocket, ME | $9.99M |
| Katahdin Valley Health Center | Patten, ME | $8.67M |
| Katahdin Valley Health Center | Brownville, ME | $4.41M |
| Katahdin Valley Health Center | Ashland, ME | $2.11M |
| Katahdin Valley Health Center | Patten, ME | $1.52M |
| Katahdin Valley Health Center | Lincoln, ME | $296K |
| Katahdin Valley Health Center | Dover Foxcroft, ME | $274K |
| Katahdin Valley Health Center | Island Falls, ME | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.