ST Croix Regional Family Health Center
ST Croix Regional Family Health Center was paid $6.36M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoST CROIX REGIONAL FAMILY HEALTH CENTER
PRINCETON, ME 04668
PRINCETON, ME 04668
33aNPI1831174614assigned 12/14/2005
33bProvider typeOptometrist
28Total paid$6.36M
24GClaims73,992
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Maine
Rank by total paid#1 of 94
Median peer was paid$70K
This provider vs. median91×
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 | 6,841 | $474K | |
| 2019 | 8,188 | $627K | |
| 2020 | 9,422 | $677K | |
| 2021 | 11,371 | $790K | |
| 2022 | 11,594 | $990K | |
| 2023 | 12,930 | $1.35M | |
| 2024incomplete | 13,646 | $1.45M |
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 | 76% | 29,609 | 19,717 | $4.86M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 12,482 | 10,451 | $489K |
| 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 | 6.3% | 8,072 | 6,576 | $398K |
| 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 | 4.8% | 9,553 | 8,418 | $304K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.9% | 3,083 | 1,758 | $122K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,741 | 1,088 | $49K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 521 | 391 | $44K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 964 | 657 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 632 | 574 | $20K |
| 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% | 270 | 144 | $15K |
| 80305 | <1% | 207 | 132 | $14K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 324 | 314 | $5K |
34 more codes
| G0008 | Administration of influenza virus vaccine | <1% | 605 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 313 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 66 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 769 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 69 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 511 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 37 | $799.68 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 272 | $478.57 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 541 | $451.07 |
| D1110 | Prophylaxis - adult | <1% | 561 | $374.25 |
| 99406 | <1% | 44 | $337.11 | |
| 99000 | <1% | 71 | $286.20 | |
| D9110 | <1% | 347 | $216.35 | |
| 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 | <1% | 34 | $177.29 |
| 90686 | <1% | 226 | $23.15 | |
| 97803 | <1% | 472 | $0.63 | |
| D0120 | Dental checkup, returning patient | 0% | 185 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 164 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 34 | $0.00 |
| 36416 | 0% | 12 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 151 | $0.00 |
| 97802 | 0% | 88 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 27 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 12 | $0.00 |
| 90656 | 0% | 36 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 137 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 425 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 104 | $0.00 |
| 81003 | 0% | 24 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 13 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 32 | $0.00 |
| 99188 | 0% | 125 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| D0270 | 0% | 15 | $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 officialFARRELL, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST Croix Regional Family Health Center | Calais, ME | $923K |
| Wasatch Senior and Family Care LLC | Heber City, UT | $61K |
| ST Croix Regional Family Health Center | Calais, ME | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.