Pines Health Services
Pines Health Services was paid $7.57M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoPINES HEALTH SERVICES
CARIBOU, ME 04736
CARIBOU, ME 04736
33aNPI1942277819assigned 03/01/2006
33bProvider typeMidwife
28Total paid$7.57M
24GClaims146,074
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
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 | 18,477 | $504K | |
| 2019 | 19,858 | $563K | |
| 2020 | 24,809 | $1.06M | |
| 2021 | 24,775 | $1.25M | |
| 2022 | 20,942 | $922K | |
| 2023 | 21,133 | $1.56M | |
| 2024incomplete | 16,080 | $1.72M |
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 | 64% | 35,270 | 29,524 | $4.83M |
| 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 | 6.9% | 11,524 | 10,237 | $519K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 21,382 | 19,202 | $476K |
| 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 | 3.7% | 16,800 | 15,179 | $281K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 6,663 | 2,687 | $140K |
| D1206 | Topical application of fluoride varnish | 1.6% | 2,755 | 2,611 | $123K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 3,710 | 3,280 | $123K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 1,791 | 941 | $111K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 1,922 | 1,836 | $104K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.2% | 3,203 | 2,857 | $92K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.0% | 1,660 | 1,589 | $76K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,210 | 2,092 | $75K |
80 more codes
| D1330 | <1% | 1,028 | $67K | |
| 20610 | <1% | 2,449 | $49K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 384 | $47K |
| D0120 | Dental checkup, returning patient | <1% | 2,104 | $43K |
| D0274 | Bitewings - four radiographic images | <1% | 1,056 | $42K |
| D1110 | Prophylaxis - adult | <1% | 1,654 | $39K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 898 | $38K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 752 | $30K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,003 | $30K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 583 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 552 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 344 | $22K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 297 | $18K |
| D0272 | Bitewings - two radiographic images | <1% | 349 | $16K |
| D1351 | Sealant - per tooth | <1% | 628 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 242 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 375 | $10K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 310 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,455 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 223 | $6K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,825 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 306 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 78 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 165 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 675 | $5K |
| 88312 | <1% | 451 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 63 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 94 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 53 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 134 | $3K |
| 90756 | <1% | 638 | $2K | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 482 | $2K |
| 99307 | <1% | 1,926 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 35 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,555 | $2K |
| 88307 | <1% | 51 | $2K | |
| 82962 | <1% | 1,196 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 27 | $1K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 154 | $1K |
| 94760 | <1% | 3,581 | $1K | |
| 99000 | <1% | 1,089 | $1K | |
| 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% | 265 | $734.42 |
| D0603 | <1% | 255 | $654.48 | |
| 99442 | <1% | 70 | $634.01 | |
| 99217 | <1% | 25 | $566.13 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 333 | $524.34 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 59 | $518.02 |
| G0008 | Administration of influenza virus vaccine | <1% | 636 | $499.28 |
| 88304 | <1% | 71 | $402.74 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 67 | $371.50 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 107 | $343.19 |
| 81002 | <1% | 441 | $314.33 | |
| 90474 | <1% | 76 | $211.85 | |
| 11055 | <1% | 16 | $180.62 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 105 | $160.63 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 372 | $153.80 |
| 90715 | <1% | 126 | $135.02 | |
| 99441 | <1% | 52 | $96.06 | |
| 11720 | <1% | 14 | $83.96 | |
| 88108 | <1% | 14 | $62.15 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $28.65 |
| 90694 | <1% | 218 | $22.16 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 12 | $21.23 |
| 99406 | <1% | 13 | $1.71 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 703 | $1.00 |
| 90653 | 0% | 84 | $0.00 | |
| 96160 | 0% | 108 | $0.00 | |
| 91322 | 0% | 39 | $0.00 | |
| D0270 | 0% | 76 | $0.00 | |
| 90662 | 0% | 39 | $0.00 | |
| 0124A | 0% | 26 | $0.00 | |
| 91312 | 0% | 26 | $0.00 | |
| D0601 | 0% | 48 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 14 | $0.00 |
| 90686 | 0% | 143 | $0.00 | |
| 90480 | 0% | 39 | $0.00 | |
| 90677 | 0% | 27 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 54 | $0.00 |
| 90656 | 0% | 122 | $0.00 | |
| 85018 | 0% | 13 | $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 officialCARON, LISA (COO)
| Provider | Location | Paid |
|---|---|---|
| Pines Health Services | Caribou, ME | $7.06M |
| Pines Health Services | Presque Isle, ME | $3.69M |
| Pines Health Services | Van Buren, ME | $2.98M |
| Maine Administrative School District No 61 | Bridgton, ME | $189K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.