Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Seaside Family Health Care LLC PA

Seaside Family Health Care LLC PA was paid $1.43M by Medicaid between Jan 2020 and Dec 2024, across 13 billing codes. Its largest line is T2022, Case management, per month — 41% of everything it billed.

33Billing provider infoSEASIDE FAMILY HEALTH CARE LLC PA
OLD ORCHARD BEACH, ME 04064
33aNPI1972093011assigned 05/15/2018
28Total paid$1.43M
24GClaims11,700
24DCodes billed13
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Maine

Rank by total paid#2 of 8
Median peer was paid$225K
This provider vs. median6.4×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2020372$15K
2021756$25K
20222,632$247K
20234,930$665K
2024incomplete3,010$480K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2022 Case management, per month 41% 1,498 1,454 $582K
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 21% 4,684 4,135 $295K
99408 19% 1,500 1,457 $265K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 14% 1,504 1,459 $201K
T1041 Medicaid certified community behavioral health clinic services, per month 2.6% 123 86 $37K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 1.7% 120 86 $25K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 145 93 $9K
99205 Prolong outpt/office vis <1% 65 60 $7K
96127 <1% 1,564 1,385 $5K
80305 <1% 386 372 $3K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 31 29 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 12 $405.83
1 more codes
36415 Collection of venous blood by venipuncture <1% 68 $121.50

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 officialSWIMM, LOURIE (OWNER/OPERATOR)