Physician
Portland Community Health Center
Portland Community Health Center was paid $3.58M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoPORTLAND COMMUNITY HEALTH CENTER
SOUTH PORTLAND, ME 04106
SOUTH PORTLAND, ME 04106
33aNPI1700258779assigned 10/29/2015
33bProvider typeObstetrics & Gynecology Physician
28Total paid$3.58M
24GClaims38,596
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Maine
Rank by total paid#4 of 28
Median peer was paid$202K
This provider vs. median18×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TUCKER, ANN controls 16+ related entities in our dataset. Read more
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 | 3,186 | $238K | |
| 2019 | 4,566 | $317K | |
| 2020 | 7,474 | $620K | |
| 2021 | 7,348 | $658K | |
| 2022 | 5,463 | $493K | |
| 2023 | 6,285 | $720K | |
| 2024incomplete | 4,274 | $530K |
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 | 92% | 17,423 | 12,034 | $3.31M |
| 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 | 2.3% | 1,421 | 1,156 | $83K |
| 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% | 7,358 | 6,459 | $60K |
| 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% | 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 | <1% | 734 | 552 | $33K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,022 | 1,317 | $31K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 441 | 410 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 359 | 329 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 736 | 427 | $5K |
| G0008 | Administration of influenza virus vaccine | <1% | 247 | 219 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 156 | 101 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 75 | 64 | $694.15 |
12 more codes
| 99000 | <1% | 171 | $617.22 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 130 | $401.16 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 77 | $306.82 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 326 | $101.92 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 38 | $17.10 |
| 99422 | 0% | 13 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 202 | $0.00 |
| 90715 | 0% | 12 | $0.00 | |
| 99423 | 0% | 18 | $0.00 | |
| 99421 | 0% | 16 | $0.00 | |
| 90461 | 0% | 47 | $0.00 | |
| 90611 | 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 officialTUCKER, ANN (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.