Maine Nephrology Associates P.A.

Maine Nephrology Associates P.A. was paid $448K by Medicaid between Jan 2018 and Jun 2021, across 27 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 51% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	5,772	$118K
2019	4,816	$123K
2020	3,741	$123K
2021	2,576	$83K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	51%	3,256	3,197	$228K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	23%	2,719	2,644	$105K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	1,909	893	$48K
90935	Hemodialysis procedure with single evaluation by a physician	5.9%	1,002	416	$27K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.6%	251	244	$7K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.4%	135	64	$6K
90966		<1%	57	51	$4K
90961		<1%	58	58	$4K
80069		<1%	1,151	1,125	$4K
99222	Initial hospital care, per day, moderate complexity	<1%	75	75	$3K
36415	Collection of venous blood by venipuncture	<1%	3,440	3,215	$2K
83970		<1%	180	176	$2K

15 more codes

36902		<1%	27	$2K
82570		<1%	736	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	484	$1K
84156		<1%	544	$779.17
80053	Comprehensive metabolic panel	<1%	217	$675.78
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	64	$507.23
99221		<1%	15	$403.73
76770		<1%	14	$373.86
84100		<1%	209	$309.14
84550		<1%	204	$281.48
85027		<1%	101	$193.55
82728		<1%	14	$62.42
83550		<1%	14	$40.08
83540		<1%	14	$29.68
82043		<1%	15	$28.55

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialAKOM, MICHAEL (PRESIDENT)