Clinic
Sebasticook Family Doctors
Sebasticook Family Doctors was paid $4.28M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoSEBASTICOOK FAMILY DOCTORS
DEXTER, ME 04930
DEXTER, ME 04930
33aNPI1811223837assigned 10/27/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.28M
24GClaims56,892
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#16 of 76
Median peer was paid$1.58M
This provider vs. median2.7×
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 | 7,717 | $371K | |
| 2019 | 9,155 | $519K | |
| 2020 | 9,096 | $623K | |
| 2021 | 10,187 | $662K | |
| 2022 | 6,155 | $360K | |
| 2023 | 9,649 | $1.06M | |
| 2024incomplete | 4,933 | $687K |
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 | 86% | 19,805 | 16,259 | $3.67M |
| 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 | 3.4% | 2,286 | 2,079 | $145K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 1,182 | 659 | $111K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 6,954 | 6,333 | $97K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.0% | 522 | 350 | $43K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,773 | 2,684 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,177 | 1,149 | $24K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,422 | 856 | $21K |
| 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% | 2,007 | 1,848 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 2,089 | 2,029 | $18K |
| D0330 | Panoramic radiographic image | <1% | 1,282 | 1,264 | $15K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,313 | 2,243 | $14K |
32 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 882 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 1,199 | $9K |
| D0270 | <1% | 1,196 | $7K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,906 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 205 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 47 | $3K |
| D1351 | Sealant - per tooth | <1% | 1,912 | $3K |
| D1110 | Prophylaxis - adult | <1% | 811 | $3K |
| 11721 | <1% | 447 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 170 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 58 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 381 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 687 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 400 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 41 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 206 | $1K |
| D9910 | <1% | 21 | $965.44 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 59 | $662.29 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 112 | $598.37 |
| 90837 | Psychotherapy session, about an hour | <1% | 63 | $547.75 |
| D2940 | <1% | 135 | $193.39 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $186.36 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 32 | $179.52 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 144 | $81.55 |
| 90686 | <1% | 57 | $48.78 | |
| D1330 | <1% | 129 | $17.34 | |
| D0603 | <1% | 550 | $0.02 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 66 | $0.00 |
| 90674 | 0% | 12 | $0.00 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 48 | $0.00 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 63 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 25 | $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 officialWINSLOW, ROBIN (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Sebasticook Family Doctors | Newport, ME | $7.41M |
| Sebasticook Family Doctors | Newport, ME | $395K |
| Sebasticook Family Doctors | Pittsfield, ME | $245K |
| Sebasticook Family Doctors | Dover Foxcroft, ME | $195K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.