Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PINES HEALTH SERVICES

NPI: 1629393327 · VAN BUREN, ME 04785 · Clinical Social Worker · NPI assigned 04/06/2010

$2.98M
Total Medicaid Paid
46,138
Total Claims
38,009
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARON, LISA (COO)
Parent OrganizationPINES HEALTH SERVICES
NPI Enumeration Date04/06/2010

Related Entities

Other providers sharing the same authorized official: CARON, LISA

ProviderCityStateTotal Paid
PINES HEALTH SERVICES CARIBOU ME $7.57M
PINES HEALTH SERVICES CARIBOU ME $7.06M
PINES HEALTH SERVICES PRESQUE ISLE ME $3.69M
MAINE ADMINISTRATIVE SCHOOL DISTRICT NO 61 BRIDGTON ME $189K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,252 $277K
2019 7,942 $310K
2020 4,823 $179K
2021 6,386 $283K
2022 5,706 $282K
2023 7,985 $802K
2024 6,044 $848K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15,542 12,174 $2.31M
G0467 Federally 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 7,683 6,415 $390K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,090 9,930 $161K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,807 6,054 $63K
90832 Psychotherapy, 30 minutes with patient 499 216 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 284 244 $12K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 119 92 $4K
99442 176 145 $2K
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 233 233 $483.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 361 348 $456.10
90756 125 124 $391.65
99309 Subsequent nursing facility care, per day, low to moderate complexity 213 199 $190.98
G0008 Administration of influenza virus vaccine 162 161 $176.10
83036 Hemoglobin; glycosylated (A1C) 232 205 $20.05
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 191 178 $14.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 266 248 $10.40
90694 50 49 $3.52
94760 746 649 $0.45
99215 Prolong outpt/office vis 114 113 $0.00
G0466 Federally 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 15 15 $0.00
99326 13 13 $0.00
96160 43 43 $0.00
81002 61 52 $0.00
90653 18 17 $0.00
36415 Collection of venous blood by venipuncture 57 54 $0.00
99000 12 12 $0.00
90686 26 26 $0.00