Portland Community Health Center
Portland Community Health Center was paid $1.19M by Medicaid between Aug 2022 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoPORTLAND COMMUNITY HEALTH CENTER
PORTLAND, ME 04102
PORTLAND, ME 04102
33aNPI1982338240assigned 07/13/2022
33bProvider typeOptometrist
28Total paid$1.19M
24GClaims14,313
24DCodes billed38
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Optometrist providers in Maine
Rank by total paid#8 of 94
Median peer was paid$70K
This provider vs. median17×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TUCKER, ANN controls 16+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2022 | 342 | $21K | |
| 2023 | 4,903 | $434K | |
| 2024incomplete | 9,068 | $732K |
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 | 91% | 4,480 | 3,859 | $1.08M |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 4.0% | 1,621 | 1,481 | $47K |
| 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 | 1.9% | 1,364 | 1,273 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 1,386 | 1,301 | $17K |
| 90480 | <1% | 120 | 118 | $4K | |
| 91322 | <1% | 33 | 33 | $3K | |
| 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 | <1% | 27 | 24 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 227 | 213 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 199 | 191 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 165 | 147 | $2K |
| 99000 | <1% | 347 | 316 | $1K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 93 | 86 | $802.14 |
26 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 129 | $534.76 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 49 | $516.70 |
| 36415 | Collection of venous blood by venipuncture | <1% | 184 | $377.58 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 98 | $357.19 |
| 99173 | <1% | 56 | $273.44 | |
| 90715 | <1% | 188 | $255.38 | |
| 90686 | <1% | 153 | $255.38 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 867 | $125.87 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 151 | $112.65 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 548 | $0.00 |
| 90713 | 0% | 209 | $0.00 | |
| 90633 | 0% | 255 | $0.00 | |
| 90461 | 0% | 187 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 103 | $0.00 |
| 92015 | Determination of refractive state | 0% | 130 | $0.00 |
| 91321 | 0% | 21 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 391 | $0.00 |
| 99188 | 0% | 42 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 74 | $0.00 |
| 90700 | 0% | 13 | $0.00 | |
| 90707 | 0% | 29 | $0.00 | |
| 90744 | 0% | 100 | $0.00 | |
| 90677 | 0% | 67 | $0.00 | |
| 90656 | 0% | 135 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 56 | $0.00 |
| 90651 | 0% | 16 | $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 officialTUCKER, ANN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Portland Community Health Center | Portland, ME | $12.89M |
| Portland Community Health Center | Portland, ME | $7.45M |
| Portland Community Health Center | Portland, ME | $4.07M |
| Portland Community Health Center | South Portland, ME | $3.58M |
| Portland Community Health Center | Portland, ME | $1.23M |
| Portland Community Health Center | Portland, ME | $1.08M |
| Portland Community Health Center | Westbrook, ME | $863K |
| Portland Community Health Center | Portland, ME | $851K |
| Portland Community Health Center | Portland, ME | $815K |
| Portland Community Health Center | South Portland, ME | $595K |
| Portland Community Health Center | Portland, ME | $377K |
| Portland Community Health Center | Portland, ME | $202K |
| Portland Community Health Center | South Portland, ME | $181K |
| Portland Community Health Center | Portland, ME | $102K |
| Portland Community Health Center | Portland, ME | $22K |
| Portland Community Health Center | Portland, ME | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.