Physician
Pines Health Services
Pines Health Services was paid $164K by Medicaid between Jan 2018 and Oct 2024, across 6 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 infoPINES HEALTH SERVICES
WASHBURN, ME 04786
WASHBURN, ME 04786
33aNPI1922449834assigned 07/09/2013
33bProvider typeFamily Medicine Physician
28Total paid$164K
24GClaims2,545
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Maine
Rank by total paid#31 of 84
Median peer was paid$67K
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 | 980 | $55K | |
| 2019 | 1,155 | $58K | |
| 2020 | 258 | $14K | |
| 2024incomplete | 152 | $37K |
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% | 1,028 | 933 | $152K |
| 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 | 3.6% | 220 | 201 | $6K |
| 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 | 2.4% | 441 | 418 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 594 | 546 | $2K |
| 90756 | 0% | 13 | 13 | $0.00 | |
| 94760 | 0% | 249 | 227 | $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 officialDAVIS, JAMES (CEO)
Parent organizationPINES HEALTH SERVICES
| Provider | Location | Paid |
|---|---|---|
| Samaritan Counseling Center of the Mohawk Valley, INC | Utica, NY | $828K |
| DR. James O. Davis III O.D.P.A. | Batesville, AR | $449K |
| Eyecenter PA | Jerome, ID | $97K |
| Turning Point Professional Counseling Services | Hays, KS | $53K |
| Oxford Pediatrics & Adolescents INC | Oxford, OH | $15K |
| Interventional Pain Management, PA | Nacogdoches, TX | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.