Clinic
Katahdin Valley Health Center
Katahdin Valley Health Center was paid $2.11M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoKATAHDIN VALLEY HEALTH CENTER
ASHLAND, ME 04732
ASHLAND, ME 04732
33aNPI1962833624assigned 12/06/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.11M
24GClaims21,450
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#35 of 76
Median peer was paid$1.58M
This provider vs. median1.3×
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 | 864 | $95K | |
| 2019 | 2,315 | $263K | |
| 2020 | 2,550 | $300K | |
| 2021 | 3,224 | $339K | |
| 2022 | 3,263 | $355K | |
| 2023 | 5,377 | $436K | |
| 2024incomplete | 3,857 | $322K |
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 | 97% | 9,274 | 7,302 | $2.05M |
| 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 | 2.1% | 814 | 645 | $45K |
| 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% | 2,346 | 1,912 | $8K |
| 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% | 637 | 546 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | 36 | $587.19 |
| 3078F | <1% | 311 | 267 | $573.25 | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 683 | 664 | $300.06 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 434 | 188 | $280.72 |
| D0140 | Limited oral evaluation - problem focused | <1% | 605 | 574 | $249.01 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,118 | 978 | $241.47 |
| 36415 | Collection of venous blood by venipuncture | <1% | 176 | 162 | $60.47 |
| 1160F | <1% | 313 | 256 | $14.29 |
22 more codes
| 3008F | <1% | 589 | $14.28 | |
| 3074F | <1% | 418 | $14.26 | |
| 96127 | <1% | 373 | $0.06 | |
| 3725F | <1% | 35 | $0.02 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 375 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 85 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 16 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 43 | $0.00 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 13 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 19 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 18 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 13 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 113 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 209 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 518 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 842 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 412 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 278 | $0.00 |
| 3079F | 0% | 63 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 151 | $0.00 |
| D3120 | 0% | 62 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 52 | $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 officialHUMPHREY, CLAUDETTE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Katahdin Valley Health Center | Houlton, ME | $22.50M |
| Katahdin Valley Health Center | Millinocket, ME | $9.99M |
| Katahdin Valley Health Center | Patten, ME | $8.67M |
| Katahdin Valley Health Center | Brownville, ME | $4.41M |
| Katahdin Valley Health Center | Dover Foxcroft, ME | $1.97M |
| Katahdin Valley Health Center | Patten, ME | $1.52M |
| Katahdin Valley Health Center | Lincoln, ME | $296K |
| Katahdin Valley Health Center | Dover Foxcroft, ME | $274K |
| Katahdin Valley Health Center | Island Falls, ME | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.