Clinic
Mainehealth
Mainehealth was paid $2.36M by Medicaid between Feb 2020 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoMAINEHEALTH
FARMINGTON, ME 04938
FARMINGTON, ME 04938
33aNPI1619510047assigned 10/17/2019
33bProvider typeRural Health Clinic/Center
28Total paid$2.36M
24GClaims22,418
24DCodes billed24
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#10 of 22
Median peer was paid$1.81M
This provider vs. median1.3×
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 HUNTER, ROBERT controls 13+ 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 | |
|---|---|---|---|
| 2020 | 2,528 | $295K | |
| 2021 | 9,873 | $1.11M | |
| 2022 | 2,657 | $269K | |
| 2023 | 3,451 | $316K | |
| 2024incomplete | 3,909 | $368K |
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 | 78% | 9,712 | 8,179 | $1.85M |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 14% | 3,307 | 3,038 | $320K |
| 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 | 4.1% | 3,956 | 3,595 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 2,801 | 2,537 | $59K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 600 | 543 | $12K |
| 99310 | Prolong nursin fac eval 15m | <1% | 779 | 608 | $10K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 52 | 42 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 190 | 167 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 109 | 102 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 84 | 84 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 99 | 95 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 200 | 193 | $1K |
12 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 218 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $861.50 |
| 0124A | <1% | 12 | $443.76 | |
| 90686 | <1% | 137 | $352.59 | |
| 90656 | <1% | 12 | $250.67 | |
| 90837 | Psychotherapy session, about an hour | <1% | 13 | $63.53 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 24 | $5.05 |
| 99442 | 0% | 17 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 21 | $0.00 |
| 36416 | 0% | 14 | $0.00 | |
| 0064A | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 33 | $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 officialHUNTER, ROBERT (SENIOR VICE PRESIDENT)
Parent organizationMAINEHEALTH
| Provider | Location | Paid |
|---|---|---|
| Mainehealth | Rockport, ME | $31.54M |
| Mainehealth | Farmington, ME | $16.71M |
| Mainehealth | Norway, ME | $10.00M |
| Mainehealth | Norway, ME | $9.84M |
| Mainehealth | Damariscotta, ME | $9.60M |
| Mainehealth | Belfast, ME | $5.33M |
| Mainehealth | Norway, ME | $5.06M |
| Mainehealth | Livermore Falls, ME | $3.15M |
| Mainehealth | Boothbay Harbor, ME | $2.90M |
| Mainehealth | Damariscotta, ME | $2.62M |
| University Pathologists | Houston, TX | $1.35M |
| Mainehealth | Farmington, ME | $435K |
| P R Hematology Oncology Group INC | Bayamon, PR | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.