Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DOWN EAST COMMUNITY HOSPITAL

NPI: 1851397475 · MILBRIDGE, ME 04658 · Rural Health Clinic/Center · NPI assigned 06/28/2005

$1.81M
Total Medicaid Paid
35,831
Total Claims
32,057
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROWN, VICKI (PFS DIRECTOR)
NPI Enumeration Date06/28/2005

Related Entities

Other providers sharing the same authorized official: BROWN, VICKI

ProviderCityStateTotal Paid
DOWN EAST COMMUNITY HOSPITAL MACHIAS ME $4.46M
DOWN EAST COMMUNITY HOSPITAL JONESPORT ME $2.09M
DOWN EAST COMMUNITY HOSPITAL MACHIAS ME $67K
DOWN EAST COMMUNITY HOSPITAL CALAIS ME $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,070 $140K
2019 4,877 $134K
2020 4,681 $279K
2021 6,403 $385K
2022 6,917 $423K
2023 4,197 $255K
2024 3,686 $197K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 12,398 10,493 $1.25M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,816 6,909 $280K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,791 4,433 $230K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 908 802 $21K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 147 136 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 69 66 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,483 1,437 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 57 49 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 615 576 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 143 139 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $2K
36415 Collection of venous blood by venipuncture 4,636 4,399 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 414 405 $852.45
85610 30 24 $500.27
81002 1,221 1,169 $399.52
90472 Immunization administration, each additional vaccine (list separately) 103 94 $396.59
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 65 56 $350.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 33 24 $299.43
81003 251 228 $292.48
90686 451 443 $176.85
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 45 44 $155.36
90656 41 41 $82.18
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 61 39 $0.00
90715 12 12 $0.00
99000 29 27 $0.00