SEBASTICOOK FAMILY DOCTORS
NPI: 1063464634
· NEWPORT, ME 04953
· 207Q00000X
$7.41M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,732 |
$502K |
| 2019 |
16,170 |
$1.12M |
| 2020 |
14,076 |
$938K |
| 2021 |
15,425 |
$1.04M |
| 2022 |
19,097 |
$1.31M |
| 2023 |
12,840 |
$1.46M |
| 2024 |
5,407 |
$1.03M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
34,053 |
24,702 |
$5.95M |
| 99213 |
|
15,707 |
13,640 |
$444K |
| G0467 |
Fqhc visit, estab pt |
4,753 |
4,183 |
$281K |
| 99214 |
|
7,079 |
6,503 |
$207K |
| 99212 |
|
4,689 |
4,364 |
$133K |
| 90832 |
|
3,644 |
2,383 |
$98K |
| 90834 |
|
2,779 |
1,857 |
$82K |
| 99396 |
|
920 |
897 |
$37K |
| 99395 |
|
1,012 |
1,003 |
$33K |
| 90471 |
|
1,520 |
1,436 |
$17K |
| 90792 |
|
122 |
119 |
$16K |
| 99393 |
|
901 |
898 |
$14K |
| 90791 |
|
420 |
392 |
$14K |
| 99394 |
|
644 |
642 |
$14K |
| 87428 |
|
390 |
384 |
$11K |
| 36415 |
|
4,527 |
4,250 |
$9K |
| G0008 |
Admin influenza virus vac |
1,702 |
1,639 |
$8K |
| 90837 |
|
1,018 |
618 |
$8K |
| 90472 |
|
782 |
720 |
$8K |
| 83036 |
|
1,127 |
1,067 |
$5K |
| G0470 |
Fqhc visit, mh estab pt |
62 |
40 |
$3K |
| 96372 |
|
357 |
288 |
$3K |
| 99392 |
|
434 |
424 |
$3K |
| 90674 |
|
196 |
194 |
$2K |
| 87880 |
|
165 |
161 |
$2K |
| 90853 |
|
67 |
64 |
$1K |
| 0031A |
|
60 |
59 |
$993.65 |
| 99391 |
|
145 |
139 |
$364.06 |
| 81002 |
|
168 |
154 |
$301.73 |
| 99188 |
|
12 |
12 |
$240.00 |
| 90686 |
|
531 |
524 |
$192.46 |
| G0439 |
Ppps, subseq visit |
107 |
103 |
$150.11 |
| 99203 |
|
56 |
51 |
$61.07 |
| 99215 |
Prolong outpt/office vis |
77 |
76 |
$30.32 |
| 0011A |
|
13 |
13 |
$15.87 |
| U0002 |
Covid-19 lab test non-cdc |
260 |
251 |
$0.00 |
| 91303 |
|
57 |
57 |
$0.00 |
| 90620 |
|
52 |
52 |
$0.00 |
| 99202 |
|
27 |
27 |
$0.00 |
| G0468 |
Fqhc visit, ippe or awv |
98 |
98 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |