Portland Community Health Center
Portland Community Health Center was paid $4.07M by Medicaid between Nov 2019 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
PORTLAND, ME 04101
Next to other Obstetrics & Gynecology Physician providers in Maine
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 17 | $0.00 | |
| 2020 | 5,857 | $294K | |
| 2021 | 8,987 | $595K | |
| 2022 | 11,630 | $716K | |
| 2023 | 18,529 | $1.25M | |
| 2024incomplete | 16,683 | $1.22M |
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 | 99% | 18,636 | 14,831 | $4.03M |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 356 | 324 | $10K |
| 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% | 1,411 | 1,297 | $4K |
| 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 | <1% | 1,374 | 1,229 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,137 | 860 | $2K |
| D1351 | Sealant - per tooth | <1% | 11,584 | 1,713 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 255 | 248 | $1K |
| D1354 | <1% | 3,012 | 556 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,662 | 1,625 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 1,955 | 1,905 | $914.14 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 133 | 69 | $910.18 |
| D0272 | Bitewings - two radiographic images | <1% | 1,671 | 1,634 | $888.81 |
41 more codes
| D0120 | Dental checkup, returning patient | <1% | 2,138 | $833.30 |
| D1120 | Dental cleaning, child | <1% | 2,890 | $714.90 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,177 | $499.19 |
| G0008 | Administration of influenza virus vaccine | <1% | 37 | $485.28 |
| D1110 | Prophylaxis - adult | <1% | 799 | $384.97 |
| 90651 | <1% | 247 | $267.38 | |
| 99188 | <1% | 2,706 | $216.98 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 29 | $211.28 |
| D7111 | <1% | 123 | $203.02 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,452 | $195.34 |
| 91300 | <1% | 43 | $195.34 | |
| D1330 | <1% | 71 | $192.64 | |
| D1352 | <1% | 418 | $135.05 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 743 | $110.97 |
| 99000 | <1% | 30 | $106.68 | |
| D0330 | Panoramic radiographic image | <1% | 1,940 | $73.50 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 397 | $63.33 |
| 36415 | Collection of venous blood by venipuncture | <1% | 28 | $56.42 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 371 | $37.01 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 25 | $0.00 |
| 90744 | 0% | 50 | $0.00 | |
| D3120 | 0% | 15 | $0.00 | |
| D0602 | 0% | 65 | $0.00 | |
| D0273 | 0% | 28 | $0.00 | |
| D0603 | 0% | 349 | $0.00 | |
| 90656 | 0% | 55 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 17 | $0.00 |
| 90686 | 0% | 42 | $0.00 | |
| 90619 | 0% | 26 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 13 | $0.00 |
| 90461 | 0% | 97 | $0.00 | |
| 90715 | 0% | 271 | $0.00 | |
| 90707 | 0% | 87 | $0.00 | |
| D0190 | 0% | 91 | $0.00 | |
| 90713 | 0% | 337 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 105 | $0.00 |
| 90633 | 0% | 133 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 34 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 14 | $0.00 |
| 90734 | 0% | 12 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Portland Community Health Center | Portland, ME | $12.89M |
| Portland Community Health Center | Portland, ME | $7.45M |
| Portland Community Health Center | South Portland, ME | $3.58M |
| Portland Community Health Center | Portland, ME | $1.23M |
| Portland Community Health Center | Portland, ME | $1.19M |
| Portland Community Health Center | Portland, ME | $1.08M |
| Portland Community Health Center | Westbrook, ME | $863K |
| Portland Community Health Center | Portland, ME | $851K |
| Portland Community Health Center | Portland, ME | $815K |
| Portland Community Health Center | South Portland, ME | $595K |
| Portland Community Health Center | Portland, ME | $377K |
| Portland Community Health Center | Portland, ME | $202K |
| Portland Community Health Center | South Portland, ME | $181K |
| Portland Community Health Center | Portland, ME | $102K |
| Portland Community Health Center | Portland, ME | $22K |
| Portland Community Health Center | Portland, ME | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.