Clinic
Katahdin Valley Health Center
Katahdin Valley Health Center was paid $8.67M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoKATAHDIN VALLEY HEALTH CENTER
PATTEN, ME 04765
PATTEN, ME 04765
33aNPI1669450524assigned 01/02/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.67M
24GClaims108,409
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#7 of 76
Median peer was paid$1.58M
This provider vs. median5.5×
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 | 11,667 | $876K | |
| 2019 | 11,452 | $906K | |
| 2020 | 10,585 | $792K | |
| 2021 | 11,576 | $929K | |
| 2022 | 16,059 | $1.43M | |
| 2023 | 25,203 | $1.89M | |
| 2024incomplete | 21,867 | $1.84M |
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 | 90% | 36,936 | 23,967 | $7.80M |
| 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 | 5.0% | 6,589 | 4,934 | $435K |
| 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 | 2.9% | 2,417 | 1,818 | $249K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 665 | 657 | $61K |
| 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% | 10,288 | 8,348 | $37K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 4,088 | 2,040 | $30K |
| 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% | 7,212 | 6,127 | $20K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,966 | 2,409 | $15K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,423 | 909 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,534 | 2,063 | $3K |
| G0008 | Administration of influenza virus vaccine | <1% | 604 | 571 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,408 | 3,850 | $2K |
50 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 19 | $1K |
| 11721 | <1% | 486 | $922.03 | |
| 90688 | <1% | 166 | $852.66 | |
| 1160F | <1% | 2,343 | $749.47 | |
| D0120 | Dental checkup, returning patient | <1% | 1,340 | $725.54 |
| 3078F | <1% | 1,814 | $568.39 | |
| 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 | <1% | 105 | $546.57 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 190 | $370.39 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 833 | $302.76 |
| 3079F | <1% | 980 | $286.83 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 154 | $286.59 |
| D1120 | Dental cleaning, child | <1% | 677 | $286.59 |
| 3725F | <1% | 531 | $278.32 | |
| D1110 | Prophylaxis - adult | <1% | 751 | $261.59 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 674 | $238.47 |
| D1206 | Topical application of fluoride varnish | <1% | 1,262 | $230.25 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 790 | $117.43 |
| 90686 | <1% | 134 | $85.66 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 522 | $53.75 |
| 92551 | <1% | 1,680 | $35.89 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 102 | $22.03 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 43 | $16.31 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 217 | $10.59 |
| 3008F | <1% | 3,100 | $10.12 | |
| 3075F | <1% | 404 | $9.95 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 60 | $9.12 |
| 99173 | <1% | 834 | $7.46 | |
| 36416 | <1% | 53 | $7.36 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 111 | $3.34 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 31 | $1.00 |
| 3074F | <1% | 2,333 | $0.15 | |
| 96127 | <1% | 916 | $0.11 | |
| 3077F | <1% | 85 | $0.02 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 345 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 91 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 134 | $0.00 |
| 3080F | 0% | 112 | $0.00 | |
| 1036F | 0% | 48 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 152 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 167 | $0.00 |
| 11719 | 0% | 564 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 506 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 95 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 130 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 66 | $0.00 |
| G0127 | Trimming of dystrophic nails, any number | 0% | 43 | $0.00 |
| 81002 | 0% | 49 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 13 | $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 | Brownville, ME | $4.41M |
| Katahdin Valley Health Center | Ashland, ME | $2.11M |
| Katahdin Valley Health Center | Dover Foxcroft, ME | $1.97M |
| 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.