Hospital
Down East Community Hospital
Down East Community Hospital was paid $67K by Medicaid between May 2019 and May 2022, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoDOWN EAST COMMUNITY HOSPITAL
MACHIAS, ME 04654
MACHIAS, ME 04654
33aNPI1689670242assigned 06/28/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$67K
24GClaims2,695
24DCodes billed22
24AFirst – last monthMay 2019 – May 2022
Compared with peers
Next to other General Acute Care Hospital providers in Maine
Rank by total paid#31 of 33
Median peer was paid$4.34M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 2,399 | $57K | |
| 2020 | 151 | $4K | |
| 2021 | 104 | $5K | |
| 2022 | 41 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 498 | 467 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 210 | 185 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 167 | 166 | $9K |
| 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 | 13% | 197 | 187 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.3% | 481 | 468 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 104 | 100 | $6K |
| 99460 | 7.6% | 102 | 100 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.8% | 230 | 222 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.8% | 70 | 68 | $3K |
| 90686 | 1.2% | 176 | 175 | $790.05 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | 25 | $383.80 |
| 90474 | <1% | 40 | 39 | $196.56 |
10 more codes
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 officialBROWN, VICKI (PFS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Down East Community Hospital | Machias, ME | $4.46M |
| Down East Community Hospital | Jonesport, ME | $2.09M |
| Down East Community Hospital | Milbridge, ME | $1.81M |
| Down East Community Hospital | Calais, ME | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.