NPI: 1023458320 · BELFAST, ME 04915 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,076 | $1.30M |
| 2019 | 28,117 | $1.93M |
| 2020 | 26,510 | $1.76M |
| 2021 | 23,998 | $1.71M |
| 2022 | 28,607 | $1.94M |
| 2023 | 27,305 | $2.83M |
| 2024 | 24,424 | $2.69M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 70,490 | 44,126 | $12.94M |
| G0467 | Fqhc visit, estab pt | 11,159 | 8,616 | $615K |
| G2025 | Dis site tele svcs rhc/fqhc | 2,068 | 1,640 | $246K |
| 99213 | 34,165 | 26,748 | $82K | |
| G0470 | Fqhc visit, mh estab pt | 668 | 332 | $54K |
| 96160 | 4,064 | 3,366 | $41K | |
| 99214 | 20,711 | 17,305 | $35K | |
| 99212 | 3,913 | 3,497 | $20K | |
| G0008 | Admin influenza virus vac | 1,997 | 1,918 | $19K |
| 80305 | 2,278 | 1,861 | $17K | |
| 90834 | 5,669 | 2,932 | $17K | |
| 90837 | 385 | 252 | $8K | |
| 90688 | 324 | 318 | $8K | |
| 36415 | 1,444 | 1,374 | $8K | |
| 99396 | 886 | 810 | $5K | |
| 87880 | 424 | 407 | $4K | |
| 99395 | 829 | 776 | $4K | |
| 99393 | 727 | 706 | $3K | |
| 90471 | 2,112 | 2,039 | $3K | |
| 96127 | 618 | 574 | $3K | |
| 90832 | 1,920 | 1,314 | $3K | |
| 98927 | 586 | 492 | $2K | |
| 99215 | Prolong outpt/office vis | 587 | 551 | $2K |
| 98928 | 194 | 172 | $2K | |
| 99308 | 53 | 28 | $2K | |
| 90686 | 1,062 | 1,026 | $2K | |
| 99309 | 25 | 13 | $2K | |
| 97110 | 62 | 25 | $1K | |
| 90472 | 1,187 | 1,091 | $1K | |
| 97530 | 22 | 13 | $1K | |
| 96372 | 485 | 458 | $1K | |
| G0009 | Admin pneumococcal vaccine | 155 | 150 | $710.00 |
| 99202 | 186 | 176 | $569.78 | |
| 90853 | 4,789 | 1,995 | $506.91 | |
| 87804 | 34 | 34 | $354.26 | |
| 99394 | 326 | 323 | $275.59 | |
| 99391 | 274 | 274 | $263.22 | |
| J1885 | Ketorolac tromethamine inj | 35 | 33 | $205.02 |
| 99392 | 776 | 769 | $189.15 | |
| 90715 | 220 | 217 | $27.02 | |
| 99203 | 629 | 600 | $16.74 | |
| 99441 | 36 | 28 | $5.03 | |
| 99443 | 37 | 34 | $2.94 | |
| 99442 | 67 | 60 | $0.00 | |
| 90734 | 13 | 12 | $0.00 | |
| 90670 | 36 | 36 | $0.00 | |
| 99204 | 26 | 25 | $0.00 | |
| 90658 | 12 | 12 | $0.00 | |
| 90656 | 191 | 190 | $0.00 | |
| 94760 | 81 | 79 | $0.00 |