Physician
Redington-Fairview General Hospital
Redington-Fairview General Hospital was paid $1.01M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoREDINGTON-FAIRVIEW GENERAL HOSPITAL
MADISON, ME 04950
MADISON, ME 04950
33aNPI1851423008assigned 03/12/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.01M
24GClaims15,573
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Maine
Rank by total paid#14 of 84
Median peer was paid$67K
This provider vs. median15×
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 | 2,730 | $151K | |
| 2019 | 2,383 | $133K | |
| 2020 | 2,117 | $132K | |
| 2021 | 2,461 | $169K | |
| 2022 | 2,327 | $153K | |
| 2023 | 2,460 | $179K | |
| 2024incomplete | 1,095 | $95K |
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 | 93% | 6,858 | 5,780 | $941K |
| 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 | 5.0% | 4,708 | 4,152 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,341 | 1,174 | $10K |
| 98926 | <1% | 1,877 | 1,573 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 68 | 67 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 156 | 149 | $994.58 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 57 | 54 | $781.10 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 49 | 43 | $728.50 |
| 80053 | Comprehensive metabolic panel | <1% | 14 | 13 | $621.67 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 310 | 273 | $529.70 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | 12 | $352.90 |
| 36415 | Collection of venous blood by venipuncture | <1% | 31 | 29 | $265.43 |
2 more codes
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 officialDOUCETTE, ELMER (CFO)
| Provider | Location | Paid |
|---|---|---|
| Redington-Fairview General Hospital | Skowhegan, ME | $5.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.