Clinic
Rumford Community Family Health Center, INC.
Rumford Community Family Health Center, INC. was paid $2.60M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoRUMFORD COMMUNITY FAMILY HEALTH CENTER, INC.
DIXFIELD, ME 04224
DIXFIELD, ME 04224
33aNPI1902841083assigned 06/20/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.60M
24GClaims28,487
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#9 of 22
Median peer was paid$1.81M
This provider vs. median1.4×
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 | 3,544 | $192K | |
| 2019 | 4,663 | $251K | |
| 2020 | 3,801 | $394K | |
| 2021 | 4,498 | $484K | |
| 2022 | 3,316 | $364K | |
| 2023 | 2,233 | $194K | |
| 2024incomplete | 6,432 | $719K |
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 | 91% | 12,107 | 10,395 | $2.36M |
| 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 | 5.1% | 5,743 | 5,406 | $133K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 5,742 | 5,126 | $73K |
| 98928 | 1.3% | 1,545 | 1,481 | $34K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 224 | 206 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | 26 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 216 | 203 | $258.01 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 413 | 354 | $130.22 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,496 | 1,437 | $110.36 |
| 90715 | <1% | 25 | 25 | $81.30 | |
| 90686 | <1% | 217 | 215 | $12.02 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 27 | 26 | $11.76 |
8 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 388 | $8.83 |
| 99442 | <1% | 56 | $6.28 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 145 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 27 | $0.00 |
| 90734 | 0% | 15 | $0.00 | |
| 90651 | 0% | 28 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 16 | $0.00 |
| 90656 | 0% | 30 | $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 officialKROGER, JOHN (DIVISION CHIEF)
| Provider | Location | Paid |
|---|---|---|
| Rumford Community Family Health Center, INC. | Rumford, ME | $6.67M |
| Rumford Community Family Health Center INC. | Rumford, ME | $42K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.