NPI: 1003034406 · MILLINOCKET, ME 04462 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,219 | $771K |
| 2019 | 13,248 | $1.19M |
| 2020 | 14,814 | $1.25M |
| 2021 | 16,365 | $1.41M |
| 2022 | 16,006 | $1.46M |
| 2023 | 25,796 | $2.00M |
| 2024 | 23,252 | $1.91M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 42,424 | 25,554 | $9.29M |
| G0467 | Fqhc visit, estab pt | 5,179 | 3,589 | $358K |
| G0470 | Fqhc visit, mh estab pt | 1,258 | 1,091 | $155K |
| 92507 | 1,057 | 404 | $48K | |
| 99213 | 9,527 | 7,647 | $33K | |
| 99212 | 9,077 | 4,736 | $27K | |
| 98940 | 3,293 | 1,668 | $13K | |
| 98941 | 2,705 | 1,226 | $9K | |
| 90837 | 3,566 | 1,546 | $9K | |
| 99214 | 3,493 | 2,971 | $9K | |
| D0140 | 1,861 | 1,732 | $6K | |
| G2025 | Dis site tele svcs rhc/fqhc | 65 | 30 | $5K |
| 92014 | 1,527 | 1,432 | $4K | |
| D7140 | 515 | 464 | $3K | |
| 3079F | 1,047 | 911 | $3K | |
| 90832 | 1,501 | 761 | $3K | |
| 92012 | 986 | 903 | $3K | |
| 3078F | 1,528 | 1,346 | $2K | |
| D1206 | 2,161 | 2,090 | $2K | |
| D0120 | 1,710 | 1,661 | $2K | |
| 97140 | 381 | 192 | $1K | |
| 36415 | 2,516 | 2,299 | $936.39 | |
| 3008F | 2,365 | 2,059 | $859.92 | |
| G0008 | Admin influenza virus vac | 263 | 256 | $851.67 |
| 96127 | 1,110 | 936 | $835.99 | |
| 99396 | 62 | 59 | $833.49 | |
| D1110 | 1,042 | 1,014 | $814.65 | |
| G0466 | Fqhc visit new patient | 12 | 12 | $735.40 |
| D0220 | 1,106 | 1,057 | $718.08 | |
| 3074F | 2,015 | 1,750 | $644.93 | |
| 90834 | 1,143 | 645 | $642.39 | |
| 97110 | 652 | 325 | $452.95 | |
| 90471 | 767 | 730 | $401.26 | |
| 91322 | 34 | 33 | $287.20 | |
| G0283 | Elec stim other than wound | 516 | 229 | $259.38 |
| 99394 | 24 | 24 | $235.68 | |
| 99204 | 33 | 33 | $199.67 | |
| 92551 | 854 | 824 | $185.38 | |
| 90688 | 41 | 39 | $179.64 | |
| 90791 | 176 | 154 | $169.49 | |
| 99203 | 149 | 140 | $106.57 | |
| 3075F | 433 | 391 | $95.59 | |
| G0444 | Depression screen annual | 43 | 43 | $79.12 |
| 90656 | 21 | 21 | $77.82 | |
| 90480 | 34 | 33 | $73.23 | |
| 1160F | 1,775 | 1,532 | $72.06 | |
| 36416 | 174 | 165 | $64.17 | |
| 90686 | 30 | 27 | $21.48 | |
| 83036 | 167 | 157 | $15.53 | |
| 92004 | 278 | 265 | $15.00 | |
| 99173 | 292 | 291 | $9.16 | |
| 92015 | 57 | 57 | $0.70 | |
| 3725F | 431 | 373 | $0.45 | |
| 2028F | 59 | 58 | $0.18 | |
| 3077F | 158 | 140 | $0.02 | |
| D0274 | 60 | 57 | $0.00 | |
| D0330 | 300 | 281 | $0.00 | |
| 99393 | 84 | 77 | $0.00 | |
| 99395 | 53 | 52 | $0.00 | |
| D1120 | 1,153 | 1,126 | $0.00 | |
| D2391 | 189 | 168 | $0.00 | |
| 92134 | 12 | 12 | $0.00 | |
| 11721 | 28 | 26 | $0.00 | |
| 87811 | 37 | 37 | $0.00 | |
| 90863 | 49 | 45 | $0.00 | |
| 90472 | 85 | 83 | $0.00 | |
| 97164 | 15 | 13 | $0.00 | |
| 92133 | 13 | 12 | $0.00 | |
| 99215 | Prolong outpt/office vis | 14 | 14 | $0.00 |
| 80305 | 12 | 12 | $0.00 | |
| 97010 | 228 | 104 | $0.00 | |
| D0272 | 1,020 | 988 | $0.00 | |
| D2392 | 258 | 223 | $0.00 | |
| 96110 | 12 | 12 | $0.00 | |
| 92002 | 52 | 51 | $0.00 | |
| D0150 | 93 | 87 | $0.00 | |
| 90792 | 39 | 34 | $0.00 | |
| 99202 | 12 | 12 | $0.00 | |
| 1036F | 43 | 32 | $0.00 | |
| Q3014 | Telehealth facility fee | 50 | 26 | $0.00 |
| D1351 | 84 | 57 | $0.00 | |
| 3080F | 12 | 12 | $0.00 |