Clinic
Houlton Regional Hospital
Houlton Regional Hospital was paid $6.99M by Medicaid between Jan 2018 and Dec 2024, across 37 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 infoHOULTON REGIONAL HOSPITAL
HOULTON, ME 04730
HOULTON, ME 04730
33aNPI1639147101assigned 03/10/2006
33bProvider typeRural Health Clinic/Center
28Total paid$6.99M
24GClaims97,663
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#2 of 22
Median peer was paid$1.81M
This provider vs. median3.9×
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 | 15,463 | $719K | |
| 2019 | 13,436 | $679K | |
| 2020 | 13,694 | $1.04M | |
| 2021 | 13,377 | $1.08M | |
| 2022 | 13,533 | $1.16M | |
| 2023 | 14,988 | $1.19M | |
| 2024incomplete | 13,172 | $1.12M |
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% | 27,653 | 22,604 | $5.47M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.0% | 22,313 | 18,741 | $562K |
| 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 | 5.1% | 10,333 | 9,608 | $360K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.1% | 8,876 | 2,758 | $285K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.3% | 2,114 | 1,484 | $91K |
| 99307 | <1% | 5,682 | 1,829 | $62K | |
| 99335 | <1% | 1,718 | 772 | $56K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,344 | 2,867 | $30K |
| 99348 | <1% | 296 | 245 | $17K | |
| 11721 | <1% | 1,216 | 1,019 | $15K | |
| 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% | 254 | 245 | $10K |
| 99334 | <1% | 1,304 | 536 | $6K |
25 more codes
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 102 | $6K |
| 99325 | <1% | 54 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,547 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,930 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,348 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,301 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,034 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 126 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $969.34 |
| G0008 | Administration of influenza virus vaccine | <1% | 154 | $674.32 |
| G0009 | Administration of pneumococcal vaccine | <1% | 331 | $508.67 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 851 | $476.01 |
| 90662 | <1% | 64 | $455.12 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $452.76 |
| 90680 | <1% | 157 | $238.00 | |
| 90686 | <1% | 376 | $140.77 | |
| 90656 | 0% | 161 | $0.00 | |
| 90698 | 0% | 371 | $0.00 | |
| 90744 | 0% | 51 | $0.00 | |
| 90651 | 0% | 26 | $0.00 | |
| 90670 | 0% | 238 | $0.00 | |
| 90671 | 0% | 152 | $0.00 | |
| 90734 | 0% | 43 | $0.00 | |
| 90633 | 0% | 102 | $0.00 | |
| 90715 | 0% | 14 | $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 officialZEWE, JEFF (CEO)
| Provider | Location | Paid |
|---|---|---|
| Houlton Regional Hospital | Houlton, ME | $4.18M |
| Houlton Regional Hospital | Houlton, ME | $3.10M |
| Houlton Regional Hospital | Houlton, ME | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.