Medicaid Provider Spending

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

PORTLAND COMMUNITY HEALTH CENTER

NPI: 1700258779 · SOUTH PORTLAND, ME 04106 · Obstetrics & Gynecology Physician · NPI assigned 10/29/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TUCKER, ANN controls 16+ related entities in our dataset. Read more

$3.58M
Total Medicaid Paid
38,596
Total Claims
28,800
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTUCKER, ANN (CFO)
NPI Enumeration Date10/29/2015

Related Entities

Other providers sharing the same authorized official: TUCKER, ANN

ProviderCityStateTotal Paid
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $12.89M
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $7.45M
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $4.07M
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $1.23M
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $1.19M
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $1.08M
PORTLAND COMMUNITY HEALTH CENTER WESTBROOK ME $863K
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $851K
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $815K
PORTLAND COMMUNITY HEALTH CENTER SOUTH PORTLAND ME $595K
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $377K
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $202K
PORTLAND COMMUNITY HEALTH CENTER SOUTH PORTLAND ME $181K
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $102K
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $22K
PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,186 $238K
2019 4,566 $317K
2020 7,474 $620K
2021 7,348 $658K
2022 5,463 $493K
2023 6,285 $720K
2024 4,274 $530K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 17,423 12,034 $3.31M
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 1,421 1,156 $83K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,358 6,459 $60K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,561 4,738 $34K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 734 552 $33K
90837 Psychotherapy, 53 minutes with patient 3,022 1,317 $31K
T1013 Sign language or oral interpretive services, per 15 minutes 441 410 $15K
99215 Prolong outpt/office vis 359 329 $6K
90834 Psychotherapy, 45 minutes with patient 736 427 $5K
G0008 Administration of influenza virus vaccine 247 219 $2K
90832 Psychotherapy, 30 minutes with patient 156 101 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 75 64 $694.15
99000 171 159 $617.22
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 130 127 $401.16
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 77 61 $306.82
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 326 314 $101.92
90472 Immunization administration, each additional vaccine (list separately) 38 38 $17.10
99422 13 13 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 202 188 $0.00
90715 12 12 $0.00
99423 18 17 $0.00
99421 16 16 $0.00
90461 47 36 $0.00
90611 13 13 $0.00