Clinic
Passamaquoddy Tribal Council
Passamaquoddy Tribal Council was paid $6.86M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoPASSAMAQUODDY TRIBAL COUNCIL
PLEASANT POINT, ME 04667
PLEASANT POINT, ME 04667
33aNPI1760474613assigned 08/17/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.86M
24GClaims33,481
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#9 of 76
Median peer was paid$1.58M
This provider vs. median4.3×
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 | 4,786 | $868K | |
| 2019 | 5,455 | $1.00M | |
| 2020 | 3,102 | $497K | |
| 2021 | 4,444 | $756K | |
| 2022 | 5,154 | $1.24M | |
| 2023 | 5,427 | $1.16M | |
| 2024incomplete | 5,113 | $1.34M |
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 | 87% | 15,089 | 8,333 | $5.94M |
| 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 | 3.7% | 1,160 | 774 | $252K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 2,345 | 1,305 | $185K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 5,627 | 4,114 | $162K |
| 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 | 1.2% | 1,929 | 1,631 | $83K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,317 | 779 | $67K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 200 | 158 | $56K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 262 | 196 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,562 | 1,002 | $20K |
| 99000 | <1% | 270 | 183 | $13K | |
| 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% | 45 | 24 | $11K |
| 99443 | <1% | 375 | 204 | $10K |
28 more codes
| A0425 | Ground mileage, per statute mile | <1% | 67 | $9K |
| 99001 | <1% | 41 | $8K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 132 | $7K |
| 98940 | <1% | 72 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 98 | $2K |
| 0002A | <1% | 98 | $1K | |
| A0429 | Emergency ambulance ride, basic life support | <1% | 13 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 83 | $1K |
| 0001A | <1% | 107 | $960.87 | |
| D1206 | Topical application of fluoride varnish | <1% | 239 | $907.85 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 44 | $797.18 |
| D0120 | Dental checkup, returning patient | <1% | 23 | $700.00 |
| D1330 | <1% | 234 | $576.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 635 | $485.57 |
| D1120 | Dental cleaning, child | <1% | 12 | $414.00 |
| G0008 | Administration of influenza virus vaccine | <1% | 41 | $410.46 |
| 80305 | <1% | 372 | $400.16 | |
| 0011A | <1% | 14 | $181.19 | |
| 90686 | <1% | 52 | $118.52 | |
| 0012A | <1% | 32 | $56.78 | |
| D0190 | <1% | 361 | $13.34 | |
| D1110 | Prophylaxis - adult | 0% | 54 | $0.00 |
| 92015 | Determination of refractive state | 0% | 24 | $0.00 |
| 91300 | 0% | 256 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 13 | $0.00 |
| 91301 | 0% | 127 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 40 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 16 | $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 officialBORE, CRYSTAL (ADMIN ASSISTANT)
Parent organizationPASSAMAQUODDY TRIBAL COUNCIL