Clinic
Sacopee Valley Health Center
Sacopee Valley Health Center was paid $10.56M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoSACOPEE VALLEY HEALTH CENTER
PORTER, ME 04068
PORTER, ME 04068
33aNPI1952470411assigned 11/07/2006
33bProvider typeClinic/Center
28Total paid$10.56M
24GClaims154,349
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Maine
Rank by total paid#1 of 16
Median peer was paid$49K
This provider vs. median215×
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 | 21,440 | $1.11M | |
| 2019 | 21,131 | $1.18M | |
| 2020 | 20,440 | $1.20M | |
| 2021 | 26,269 | $1.49M | |
| 2022 | 23,026 | $1.47M | |
| 2023 | 22,281 | $2.00M | |
| 2024incomplete | 19,762 | $2.11M |
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 | 95% | 64,345 | 38,563 | $9.99M |
| 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 | 3.4% | 8,990 | 7,156 | $355K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,874 | 807 | $53K |
| 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% | 27,205 | 20,464 | $35K |
| 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% | 16,011 | 13,856 | $28K |
| 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% | 1,004 | 440 | $21K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 6,614 | 3,707 | $12K |
| G0008 | Administration of influenza virus vaccine | <1% | 1,457 | 1,407 | $8K |
| 80305 | <1% | 1,523 | 1,137 | $7K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 8,052 | 3,575 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 607 | 521 | $3K |
| 0012A | <1% | 85 | 84 | $3K |
71 more codes
| 0011A | <1% | 84 | $3K | |
| 0004A | <1% | 85 | $3K | |
| D0120 | Dental checkup, returning patient | <1% | 580 | $2K |
| 0001A | <1% | 57 | $2K | |
| 0064A | <1% | 79 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 660 | $2K |
| 0031A | <1% | 51 | $2K | |
| 0072A | <1% | 46 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 764 | $1K |
| 0002A | <1% | 35 | $1K | |
| 99173 | <1% | 222 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,833 | $1K |
| 0071A | <1% | 25 | $932.25 | |
| D1110 | Prophylaxis - adult | <1% | 713 | $922.74 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 289 | $881.52 |
| D0603 | <1% | 295 | $846.82 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 648 | $730.86 |
| 90686 | <1% | 634 | $730.59 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 161 | $661.90 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 186 | $587.96 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 558 | $572.30 |
| D0330 | Panoramic radiographic image | <1% | 240 | $483.54 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 261 | $453.04 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 415 | $440.76 |
| G0009 | Administration of pneumococcal vaccine | <1% | 97 | $440.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 174 | $430.34 |
| 0240U | <1% | 321 | $410.28 | |
| 90674 | <1% | 112 | $364.51 | |
| 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% | 172 | $361.06 |
| 99000 | <1% | 248 | $343.18 | |
| D1206 | Topical application of fluoride varnish | <1% | 1,040 | $313.54 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 200 | $292.72 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 502 | $280.89 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 27 | $279.58 |
| 0124A | <1% | 19 | $258.86 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 179 | $183.17 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 197 | $161.18 |
| 81002 | <1% | 417 | $157.86 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 253 | $157.86 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 214 | $155.68 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 209 | $124.56 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 313 | $93.38 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 392 | $39.40 |
| 90662 | <1% | 12 | $19.01 | |
| S9453 | Smoking cessation classes, non-physician provider, per session | <1% | 15 | $12.98 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $1.34 |
| D1120 | Dental cleaning, child | 0% | 255 | $0.00 |
| 91300 | 0% | 274 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 49 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 323 | $0.00 |
| D0270 | 0% | 113 | $0.00 | |
| 90715 | 0% | 25 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 60 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 44 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 197 | $0.00 |
| 96152 | 0% | 73 | $0.00 | |
| 96160 | 0% | 150 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 20 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 57 | $0.00 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 63 | $0.00 |
| 96127 | 0% | 198 | $0.00 | |
| 91301 | 0% | 156 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 64 | $0.00 |
| 91307 | 0% | 87 | $0.00 | |
| 91303 | 0% | 52 | $0.00 | |
| 91306 | 0% | 62 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 43 | $0.00 |
| 90656 | 0% | 93 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 34 | $0.00 |
| 87807 | 0% | 13 | $0.00 | |
| 90694 | 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 officialEASTMAN, MICHELLE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sacopee Valley Health Center | Cornish, ME | $858K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.