Clinic
Regional Medical Center at Lubec
Regional Medical Center at Lubec was paid $3.92M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoREGIONAL MEDICAL CENTER AT LUBEC
LUBEC, ME 04652
LUBEC, ME 04652
33aNPI1740283977assigned 05/23/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.92M
24GClaims48,079
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#20 of 76
Median peer was paid$1.58M
This provider vs. median2.5×
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 | 4,642 | $241K | |
| 2019 | 6,111 | $336K | |
| 2020 | 5,252 | $325K | |
| 2021 | 6,735 | $403K | |
| 2022 | 6,820 | $366K | |
| 2023 | 10,031 | $1.08M | |
| 2024incomplete | 8,488 | $1.17M |
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 | 93% | 19,311 | 12,066 | $3.64M |
| 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 | 4.6% | 3,385 | 2,838 | $181K |
| 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 | 1.1% | 5,813 | 4,461 | $45K |
| 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% | 6,573 | 5,565 | $24K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 179 | 159 | $10K |
| D1110 | Prophylaxis - adult | <1% | 565 | 495 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,728 | 2,515 | $3K |
| 99000 | <1% | 2,321 | 1,909 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 337 | 292 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 504 | 414 | $2K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,011 | 617 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 230 | 222 | $2K |
26 more codes
| 0031A | <1% | 44 | $1K | |
| 0064A | <1% | 32 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,655 | $1K |
| D1120 | Dental cleaning, child | <1% | 413 | $1K |
| 0011A | <1% | 21 | $783.09 | |
| D0120 | Dental checkup, returning patient | <1% | 369 | $761.06 |
| 0012A | <1% | 21 | $745.80 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 479 | $740.34 |
| 90686 | <1% | 168 | $472.71 | |
| 90662 | <1% | 92 | $300.07 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 216 | $260.92 |
| D1206 | Topical application of fluoride varnish | <1% | 497 | $152.48 |
| D0274 | Bitewings - four radiographic images | <1% | 140 | $94.55 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 132 | $80.18 |
| 80305 | <1% | 227 | $59.41 | |
| 90661 | 0% | 12 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 67 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 16 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 41 | $0.00 |
| 90688 | 0% | 39 | $0.00 | |
| 91301 | 0% | 54 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 178 | $0.00 |
| D0601 | 0% | 26 | $0.00 | |
| 91303 | 0% | 44 | $0.00 | |
| 91306 | 0% | 32 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 107 | $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 officialHUGHES, MARILYN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Regional Medical Center at Lubec | East Machias, ME | $2.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.