Clinic
Sebasticook Family Doctors
Sebasticook Family Doctors was paid $245K by Medicaid between Jan 2018 and Dec 2018, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 65% of everything it billed.
33Billing provider infoSEBASTICOOK FAMILY DOCTORS
PITTSFIELD, ME 04967
PITTSFIELD, ME 04967
33aNPI1952637985assigned 10/27/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$245K
24GClaims4,701
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#56 of 76
Median peer was paid$1.58M
This provider vs. median0.2×
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 | 4,701 | $245K |
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 | 65% | 1,110 | 806 | $158K |
| 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 | 13% | 902 | 674 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 573 | 501 | $29K |
| 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 | 9.4% | 1,649 | 1,260 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 12 | $799.30 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | 14 | $641.84 |
| 99406 | <1% | 137 | 112 | $424.83 | |
| 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% | 29 | 29 | $145.08 |
| 36415 | Collection of venous blood by venipuncture | <1% | 67 | 63 | $118.50 |
| G0008 | Administration of influenza virus vaccine | <1% | 34 | 34 | $85.00 |
| 99407 | <1% | 156 | 120 | $50.43 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 17 | 17 | $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 officialWINSLOW, ROBIN (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Sebasticook Family Doctors | Newport, ME | $7.41M |
| Sebasticook Family Doctors | Dexter, ME | $4.28M |
| Sebasticook Family Doctors | Newport, ME | $395K |
| Sebasticook Family Doctors | Dover Foxcroft, ME | $195K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.