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Sebasticook Family Doctors

Family Medicine·Dover Foxcroft, ME·NPI: 1831426022SharePrint ReportML Risk: 82%

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $195K is at the 25th percentile among 19 Family Medicine providers.

Total Paid

$195K

$194,631

Total Claims

3,441

Beneficiaries

2,915

1.2 claims/patient

Avg Cost/Claim

$57

🔍 Analysis

Provider Overview

Sebasticook Family Doctors is a Family Medicine provider based in Dover Foxcroft, ME. From the 2018–2024 period, this provider received $195K in Medicaid payments across 3K claims serving 3K beneficiaries.

53% growthsince first billing year

Yearly Spending

2018
$132K
-53%
2019
$62K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 89% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$174K

1,319 claims · 89.5%

Your Cost: $132.03/claim|Median: $121.16
1.1× median
G0467Top 25%

Federally qualified health center visit, mental health

$18K

490 claims · 9.3%

Your Cost: $36.92/claim|Median: $21.91
1.7× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$2K

994 claims · 0.9%

Your Cost: $1.76/claim|Median: $37.81
0.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$293

462 claims · 0.2%

Your Cost: $0.63/claim|Median: $53.41
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$164

91 claims · 0.1%

Your Cost: $1.80/claim|Median: $1.57
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$161

15 claims · 0.1%

Your Cost: $10.76/claim|Median: $11.48
0.9× median
G0008Normal range

$35

39 claims · 0.0%

Your Cost: $0.90/claim|Median: $2.54
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
G0468Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.74