NPI: 1023321593 · WINDHAM, ME 04062 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,849 | $223K |
| 2019 | 4,790 | $206K |
| 2020 | 3,889 | $163K |
| 2021 | 4,640 | $219K |
| 2022 | 5,031 | $242K |
| 2023 | 4,843 | $274K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 11,600 | 10,357 | $883K |
| 90471 | 2,510 | 2,432 | $79K | |
| 99392 | 1,169 | 1,162 | $71K | |
| G0008 | Admin influenza virus vac | 2,297 | 2,264 | $65K |
| 99393 | 938 | 929 | $57K | |
| 99391 | 856 | 832 | $52K | |
| 99394 | 536 | 535 | $34K | |
| 99395 | 336 | 326 | $23K | |
| G0009 | Admin pneumococcal vaccine | 478 | 475 | $14K |
| 90686 | 2,208 | 2,178 | $12K | |
| 90832 | 102 | 88 | $11K | |
| 99396 | 146 | 142 | $10K | |
| C9803 | Hopd covid-19 spec collect | 151 | 133 | $3K |
| 90677 | 13 | 13 | $2K | |
| 90670 | 433 | 430 | $2K | |
| 96127 | 312 | 297 | $2K | |
| Q3014 | Telehealth facility fee | 138 | 131 | $2K |
| 0054A | 74 | 74 | $2K | |
| 0124A | 151 | 151 | $2K | |
| 0001A | 37 | 36 | $1K | |
| 0002A | 32 | 32 | $1K | |
| D0145 | 18 | 18 | $360.00 | |
| 80305 | 174 | 172 | $298.16 | |
| 91320 | 55 | 54 | $262.20 | |
| 90480 | 85 | 84 | $247.31 | |
| 90734 | 37 | 37 | $194.98 | |
| D1206 | 15 | 15 | $180.00 | |
| 90651 | 43 | 43 | $172.04 | |
| 0004A | 117 | 116 | $82.64 | |
| 87804 | 26 | 13 | $21.42 | |
| 83036 | 51 | 50 | $19.42 | |
| 83037 | 81 | 79 | $9.71 | |
| 87070 | 13 | 13 | $8.80 | |
| 81003 | 37 | 37 | $4.50 | |
| 90472 | 1,494 | 1,480 | $0.00 | |
| 90715 | 67 | 66 | $0.00 | |
| 91300 | 167 | 156 | $0.00 | |
| 90633 | 128 | 128 | $0.00 | |
| 90671 | 70 | 70 | $0.00 | |
| 90648 | 12 | 12 | $0.00 | |
| 87880 | 26 | 25 | $0.00 | |
| 91312 | 93 | 93 | $0.00 | |
| 90681 | 12 | 12 | $0.00 | |
| 90662 | 29 | 29 | $0.00 | |
| 0071A | 16 | 16 | $0.00 | |
| 36416 | 430 | 427 | $0.00 | |
| 90698 | 12 | 12 | $0.00 | |
| 0072A | 26 | 26 | $0.00 | |
| 91305 | 79 | 77 | $0.00 | |
| 91319 | 12 | 12 | $0.00 | |
| 90697 | 13 | 13 | $0.00 | |
| 91307 | 62 | 60 | $0.00 | |
| 90619 | 13 | 13 | $0.00 | |
| 90474 | 12 | 12 | $0.00 |