Clinic
Mainehealth
Mainehealth was paid $3.15M by Medicaid between Aug 2019 and Dec 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoMAINEHEALTH
LIVERMORE FALLS, ME 04254
LIVERMORE FALLS, ME 04254
33aNPI1811451081assigned 01/22/2019
33bProvider typeRural Health Clinic/Center
28Total paid$3.15M
24GClaims28,650
24DCodes billed22
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#5 of 22
Median peer was paid$1.81M
This provider vs. median1.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HUNTER, ROBERT controls 13+ 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 | |
|---|---|---|---|
| 2019 | 1,762 | $125K | |
| 2020 | 3,781 | $471K | |
| 2021 | 4,543 | $580K | |
| 2022 | 5,882 | $654K | |
| 2023 | 6,167 | $694K | |
| 2024incomplete | 6,515 | $629K |
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 | 90% | 13,205 | 11,303 | $2.84M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 6,657 | 6,089 | $154K |
| 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 | 4.0% | 5,406 | 5,016 | $127K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 373 | 357 | $9K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 85 | 85 | $4K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 761 | 713 | $4K |
| G0008 | Administration of influenza virus vaccine | <1% | 202 | 202 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 95 | 74 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 194 | 189 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 171 | 153 | $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% | 93 | 93 | $2K |
| 90656 | <1% | 19 | 19 | $1K |
10 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 157 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 67 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 461 | $742.47 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $685.79 |
| 90686 | <1% | 363 | $392.96 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 104 | $250.67 |
| 0064A | <1% | 20 | $223.74 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 157 | $133.73 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 30 | $0.00 |
| 99443 | 0% | 17 | $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 officialHUNTER, ROBERT (SENIOR VICE PRESIDENT)
Parent organizationMAINEHEALTH
| Provider | Location | Paid |
|---|---|---|
| Mainehealth | Rockport, ME | $31.54M |
| Mainehealth | Farmington, ME | $16.71M |
| Mainehealth | Norway, ME | $10.00M |
| Mainehealth | Norway, ME | $9.84M |
| Mainehealth | Damariscotta, ME | $9.60M |
| Mainehealth | Belfast, ME | $5.33M |
| Mainehealth | Norway, ME | $5.06M |
| Mainehealth | Boothbay Harbor, ME | $2.90M |
| Mainehealth | Damariscotta, ME | $2.62M |
| Mainehealth | Farmington, ME | $2.36M |
| University Pathologists | Houston, TX | $1.35M |
| Mainehealth | Farmington, ME | $435K |
| P R Hematology Oncology Group INC | Bayamon, PR | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.