Clinic
Community Clinical Services, INC.
Community Clinical Services, INC. was paid $17.27M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoCOMMUNITY CLINICAL SERVICES, INC.
LEWISTON, ME 04240
LEWISTON, ME 04240
33aNPI1710279344assigned 05/16/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$17.27M
24GClaims298,062
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#4 of 76
Median peer was paid$1.58M
This provider vs. median11×
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 ELIAS, COLEEN controls 19+ 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 | 39,317 | $1.84M | |
| 2019 | 45,152 | $2.16M | |
| 2020 | 41,372 | $2.68M | |
| 2021 | 45,087 | $2.97M | |
| 2022 | 46,154 | $2.89M | |
| 2023 | 51,617 | $2.74M | |
| 2024incomplete | 29,363 | $1.98M |
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 | 89% | 122,631 | 72,834 | $15.30M |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 4.9% | 13,432 | 9,534 | $849K |
| 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 | 1.5% | 11,324 | 10,630 | $264K |
| 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 | 1.3% | 8,487 | 4,821 | $216K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.1% | 42,217 | 20,188 | $190K |
| 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 | 1.0% | 40,302 | 36,075 | $179K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 14,614 | 9,431 | $90K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 8,908 | 6,228 | $62K |
| 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% | 18,448 | 17,165 | $59K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 4,750 | 4,505 | $18K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 3,212 | 2,784 | $9K |
| 99443 | <1% | 255 | 237 | $9K |
17 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,656 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,071 | $8K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 999 | $2K |
| 98968 | <1% | 519 | $1K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 3,046 | $837.07 |
| 99442 | <1% | 246 | $521.66 | |
| 90785 | <1% | 564 | $314.28 | |
| 1036F | <1% | 28 | $177.14 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 93 | $166.36 |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 | <1% | 31 | $121.20 |
| 98967 | <1% | 13 | $23.16 | |
| 99336 | 0% | 28 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 31 | $0.00 |
| 1123F | 0% | 89 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 17 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 20 | $0.00 |
| 99441 | 0% | 31 | $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 officialELIAS, COLEEN (CEO/CFO)
Parent organizationCOMMUNITY CLINICAL SERVICES, INC.
| Provider | Location | Paid |
|---|---|---|
| Community Clinical Services, INC. | Lewiston, ME | $6.95M |
| Community Clinical Services, INC. | Auburn, ME | $5.24M |
| Community Clinical Services, INC. | Lewiston, ME | $3.86M |
| Community Clinical Services, INC. | Lewiston, ME | $1.35M |
| Community Clinical Services, INC | Lewiston, ME | $850K |
| Community Clinical Services, INC. | Lewiston, ME | $815K |
| Community Clinical Services, INC. | Auburn, ME | $651K |
| Community Clinical Services, INC. | Auburn, ME | $404K |
| Community Clinical Services, INC. | Lewiston, ME | $326K |
| Community Clinical Services, INC. | Lewiston, ME | $190K |
| Community Clinical Services, INC | Auburn, ME | $46K |
| Community Clinical Services, INC. | Auburn, ME | $21K |
| Community Clinical Services, INC. | Auburn, ME | $20K |
| Community Clinical Services, INC. | Lewiston, ME | $18K |
| Community Clinical Services, INC. | Lewiston, ME | $14K |
| Community Clinical Services, INC. | Lewiston, ME | $9K |
| Community Clinical Services, INC. | Poland, ME | $7K |
| Community Clinical Services, INC. | Auburn, ME | $5K |
| Community Clinical Services, INC. | Auburn, ME | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.