Clinic
Healthreach Community Health Centers
Healthreach Community Health Centers was paid $3.83M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoHEALTHREACH COMMUNITY HEALTH CENTERS
ALBION, ME 04910
ALBION, ME 04910
33aNPI1922071745assigned 02/10/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.83M
24GClaims65,337
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#23 of 76
Median peer was paid$1.58M
This provider vs. median2.4×
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 | 10,414 | $479K | |
| 2019 | 9,844 | $504K | |
| 2020 | 9,106 | $472K | |
| 2021 | 9,083 | $490K | |
| 2022 | 9,104 | $514K | |
| 2023 | 9,975 | $726K | |
| 2024incomplete | 7,811 | $641K |
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 | 94% | 25,543 | 19,295 | $3.60M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 4.2% | 4,820 | 4,082 | $160K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 397 | 272 | $22K |
| 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% | 11,209 | 9,873 | $13K |
| 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% | 9,514 | 8,446 | $11K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 205 | 158 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,115 | 1,071 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,531 | 1,916 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 48 | 44 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 692 | 635 | $2K |
| 0031A | <1% | 45 | 44 | $1K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,031 | 851 | $1K |
24 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,086 | $804.81 |
| 87428 | <1% | 12 | $489.61 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $464.22 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,091 | $377.15 |
| 90688 | <1% | 652 | $255.94 | |
| G0008 | Administration of influenza virus vaccine | <1% | 297 | $231.97 |
| 82044 | <1% | 68 | $175.90 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 47 | $160.04 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $151.23 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $127.81 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,491 | $124.01 |
| 36416 | <1% | 1,678 | $90.08 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 67 | $35.31 |
| 90656 | <1% | 77 | $11.86 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 154 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 104 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 38 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 73 | $0.00 |
| 90662 | 0% | 31 | $0.00 | |
| 91322 | 0% | 17 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 68 | $0.00 |
| 90686 | 0% | 46 | $0.00 | |
| 90480 | 0% | 18 | $0.00 | |
| 90673 | 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 officialCOGGINS, CONSTANCE (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Healthreach Community Health Centers | Madison, ME | $4.34M |
| Healthreach Community Health Centers | Strong, ME | $4.22M |
| Healthreach Community Health Centers | Bethel, ME | $4.16M |
| Healthreach Community Health Centers | Bingham, ME | $3.88M |
| Healthreach Community Health Centers | Livermore Falls, ME | $3.15M |
| Healthreach Community Health Centers | Coopers Mills, ME | $2.98M |
| Healthreach Community Health Centers | Belgrade, ME | $2.24M |
| Healthreach Community Health Centers | Kingfield, ME | $1.58M |
| Healthreach Community Health Centers | Rangeley, ME | $736K |
| Healthreach Community Health Centers | Fairfield, ME | $189K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.