Clinic
Down East Community Hospital
Down East Community Hospital was paid $1.81M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
33Billing provider infoDOWN EAST COMMUNITY HOSPITAL
MILBRIDGE, ME 04658
MILBRIDGE, ME 04658
33aNPI1851397475assigned 06/28/2005
33bProvider typeRural Health Clinic/Center
28Total paid$1.81M
24GClaims35,831
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#12 of 22
Median peer was paid$1.81M
This provider vs. median1.0×
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 | 5,070 | $140K | |
| 2019 | 4,877 | $134K | |
| 2020 | 4,681 | $279K | |
| 2021 | 6,403 | $385K | |
| 2022 | 6,917 | $423K | |
| 2023 | 4,197 | $255K | |
| 2024incomplete | 3,686 | $197K |
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 | 69% | 12,398 | 10,493 | $1.25M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 7,816 | 6,909 | $280K |
| 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 | 13% | 4,791 | 4,433 | $230K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 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 | <1% | 147 | 136 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 69 | 66 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,483 | 1,437 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 57 | 49 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 615 | 576 | $2K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 143 | 139 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,636 | 4,399 | $2K |
13 more codes
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 414 | $852.45 |
| 85610 | <1% | 30 | $500.27 | |
| 81002 | <1% | 1,221 | $399.52 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 103 | $396.59 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 65 | $350.50 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 33 | $299.43 |
| 81003 | <1% | 251 | $292.48 | |
| 90686 | <1% | 451 | $176.85 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 45 | $155.36 |
| 90656 | <1% | 41 | $82.18 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 61 | $0.00 |
| 90715 | 0% | 12 | $0.00 | |
| 99000 | 0% | 29 | $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 officialBROWN, VICKI (PFS DIRECTOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.