NPI: 1053787721 · BROWNVILLE, ME 04414 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,923 | $275K |
| 2019 | 3,293 | $334K |
| 2020 | 6,586 | $531K |
| 2021 | 7,593 | $623K |
| 2022 | 9,836 | $823K |
| 2023 | 17,136 | $1.05M |
| 2024 | 10,980 | $773K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 18,647 | 12,128 | $4.08M |
| G0467 | Fqhc visit, estab pt | 4,586 | 2,954 | $249K |
| 99214 | 6,012 | 4,985 | $30K | |
| 99213 | 5,305 | 4,410 | $18K | |
| 99212 | 3,787 | 1,941 | $16K | |
| G0470 | Fqhc visit, mh estab pt | 74 | 66 | $8K |
| 98941 | 1,924 | 831 | $3K | |
| G0008 | Admin influenza virus vac | 212 | 202 | $1K |
| 36415 | 2,570 | 2,298 | $971.49 | |
| G0466 | Fqhc visit new patient | 20 | 19 | $957.96 |
| 98940 | 924 | 422 | $776.90 | |
| 99203 | 42 | 40 | $702.27 | |
| 90832 | 134 | 61 | $552.24 | |
| G0283 | Elec stim other than wound | 379 | 135 | $444.51 |
| 99215 | Prolong outpt/office vis | 14 | 12 | $273.16 |
| D2391 | 40 | 38 | $261.59 | |
| D0330 | 109 | 100 | $252.01 | |
| D1206 | 145 | 136 | $241.47 | |
| 92551 | 1,079 | 1,066 | $221.85 | |
| 90688 | 43 | 40 | $155.68 | |
| 99173 | 857 | 845 | $119.92 | |
| 98927 | 37 | 27 | $90.72 | |
| 87804 | 127 | 120 | $75.58 | |
| 11721 | 81 | 73 | $36.80 | |
| 83036 | 171 | 157 | $31.87 | |
| 97110 | 340 | 195 | $29.69 | |
| 90686 | 19 | 12 | $18.97 | |
| 99204 | 82 | 79 | $17.85 | |
| G0444 | Depression screen annual | 12 | 12 | $16.63 |
| 90471 | 158 | 153 | $14.96 | |
| 3078F | 1,691 | 1,448 | $1.38 | |
| 81002 | 28 | 25 | $0.96 | |
| 3725F | 264 | 236 | $0.31 | |
| 96127 | 1,215 | 847 | $0.29 | |
| 3079F | 390 | 344 | $0.24 | |
| 3074F | 1,793 | 1,528 | $0.14 | |
| 1160F | 1,474 | 1,291 | $0.10 | |
| 3008F | 2,055 | 1,757 | $0.10 | |
| 2028F | 13 | 13 | $0.03 | |
| 87880 | 127 | 121 | $0.00 | |
| 99395 | 69 | 66 | $0.00 | |
| 11720 | 29 | 25 | $0.00 | |
| 90837 | 170 | 95 | $0.00 | |
| 92012 | 15 | 15 | $0.00 | |
| D0220 | 136 | 131 | $0.00 | |
| 99394 | 36 | 36 | $0.00 | |
| D0460 | 18 | 18 | $0.00 | |
| D1110 | 30 | 27 | $0.00 | |
| D0274 | 41 | 41 | $0.00 | |
| G2023 | Specimen collect covid-19 | 36 | 33 | $0.00 |
| 90791 | 33 | 14 | $0.00 | |
| 99396 | 12 | 12 | $0.00 | |
| D0150 | 107 | 91 | $0.00 | |
| 97140 | 89 | 45 | $0.00 | |
| D0140 | 199 | 189 | $0.00 | |
| 3075F | 173 | 162 | $0.00 | |
| Q3014 | Telehealth facility fee | 35 | 31 | $0.00 |
| D0120 | 35 | 34 | $0.00 | |
| D2392 | 30 | 27 | $0.00 | |
| D0272 | 44 | 44 | $0.00 | |
| 99202 | 18 | 17 | $0.00 | |
| 93000 | 12 | 12 | $0.00 |