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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNorthern Maine Medical Center
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    Northern Maine Medical Center — Billing Profile & Reimbursement Data

    NPI 1962481077 · Fort Kent, ME · Rural Health Clinic/Center

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    Northern Maine Medical Center is a rural health clinic/center provider located in Fort Kent, Maine. This profile covers 0 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorthern Maine Medical Center
    Address194 E Main St
    CityFort Kent
    StateME
    ZIP04743
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedJanuary 17, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive16,710$170$2.8M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…9,580$10$115K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…6,420$10$38.5K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.1,800$1$7.2K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…70$40$2.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…310$10$1.5K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…40$20$910
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…280$1$550
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…20$20$310
    G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only20$20$300

    Showing 1–10 of 17

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maine median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive551808,540$180$3M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…674601,240$30$190K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1124801,030$20$128.9K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…55701,060$40$97K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…60701,000$40$91K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…89170380$50$63.7K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.6680540$40$61.6K
    G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only6470220$70$54K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.49190390$20$42.6K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…152170220$30$24.4K

    Showing 1–10 of 17

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Northern Maine Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northern Maine Medical CenterMECritical Access Hospital$0$5.8M
    Northern Maine Medical CenterMERural Health Clinic/Center$0$2.8M
    Bogdan CherascuIARheumatology Physician$2.4M$0
    Allan Espinosa MorazanAZMedical Oncology Physician$2.2M$0
    Northern Maine Medical CenterMERural Health Clinic/Center$0$1.5M
    Northern Maine Medical CenterMERural Health Clinic/Center$0$1.3M
    Steven HakeCODiagnostic Radiology Physician$982.7K$0
    Alan MautzWIDiagnostic Radiology Physician$430.5K$1.7K
    Iqra ChoudaryNYHematology & Oncology Physician$406.5K$1.9K
    Elliott WagnerCADiagnostic Radiology Physician$392.6K$7.3K

    Nearby Providers

    Other providers in the same ZIP code as Northern Maine Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fish River Rural HealthMEFederally Qualified Health Center (FQHC)$0$7.7M
    Fish River Rural HealthMEFederally Qualified Health Center (FQHC)$0$1.3M
    Ambulance Service Inc.MELand Ambulance$223.7K$733.4K
    Polished Oral Health, LLCMEDental Hygienist$0$371.9K
    John HotchkissMEDiagnostic Radiology Physician$93.6K$61.4K
    James HarrisMEInternal Medicine Physician$91.7K$0
    Northern Maine Medical CenterMECommunity/Retail Pharmacy$71.3K$280
    Savannah Paradis-hamiltonMEOccupational Therapist$51.2K$0
    Timothy RiouxMEOptometrist$50.2K$0
    Matthew MichaudMEPhysical Therapist$43.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Maine Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    Northern Maine Medical Center — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine