NPI: 1013331495 · PORTLAND, ME 04101 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,236 | $293K |
| 2019 | 10,603 | $846K |
| 2020 | 10,931 | $916K |
| 2021 | 12,027 | $1.08M |
| 2022 | 15,545 | $1.39M |
| 2023 | 15,354 | $1.70M |
| 2024 | 10,671 | $1.23M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 36,197 | 18,973 | $6.91M |
| G0467 | Fqhc visit, estab pt | 2,733 | 1,792 | $162K |
| 99211 | 4,549 | 1,926 | $132K | |
| 99214 | 11,016 | 8,337 | $82K | |
| 99213 | 13,188 | 8,756 | $70K | |
| 90832 | 2,999 | 1,740 | $24K | |
| 90834 | 1,187 | 743 | $17K | |
| G2025 | Dis site tele svcs rhc/fqhc | 282 | 195 | $7K |
| T1013 | Sign lang/oral interpreter | 138 | 121 | $5K |
| 0031A | 135 | 135 | $5K | |
| 99000 | 1,158 | 861 | $4K | |
| 99212 | 334 | 296 | $3K | |
| 90837 | 268 | 136 | $2K | |
| G0008 | Admin influenza virus vac | 304 | 275 | $2K |
| 0064A | 86 | 68 | $2K | |
| 91322 | 13 | 13 | $2K | |
| D0140 | 706 | 645 | $2K | |
| 0011A | 34 | 34 | $1K | |
| 90792 | 26 | 25 | $1K | |
| 0124A | 27 | 27 | $898.19 | |
| 0012A | 25 | 25 | $894.96 | |
| 99215 | Prolong outpt/office vis | 131 | 115 | $881.72 |
| D0220 | 599 | 559 | $864.85 | |
| 90471 | 479 | 453 | $701.82 | |
| 90480 | 14 | 14 | $547.54 | |
| D0330 | 294 | 282 | $514.59 | |
| 0034A | 13 | 13 | $447.48 | |
| D1110 | 157 | 151 | $439.65 | |
| D0274 | 293 | 283 | $359.94 | |
| 91306 | 81 | 66 | $199.44 | |
| D7140 | 373 | 202 | $147.75 | |
| 99203 | 133 | 127 | $119.99 | |
| 99204 | 66 | 65 | $97.92 | |
| D0120 | 84 | 82 | $45.00 | |
| D0150 | 658 | 629 | $27.00 | |
| 36415 | 12 | 12 | $23.87 | |
| D2392 | 63 | 56 | $22.68 | |
| D2391 | 32 | 25 | $0.00 | |
| 90472 | 17 | 17 | $0.00 | |
| 91312 | 27 | 26 | $0.00 | |
| 91303 | 153 | 149 | $0.00 | |
| 90688 | 12 | 12 | $0.00 | |
| 91301 | 59 | 59 | $0.00 | |
| D0210 | 197 | 193 | $0.00 | |
| 99202 | 15 | 12 | $0.00 |