NPI: 1063726891 · PORTLAND, ME 04102 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,068 | $730K |
| 2019 | 9,816 | $643K |
| 2020 | 9,987 | $687K |
| 2021 | 11,910 | $741K |
| 2022 | 10,697 | $657K |
| 2023 | 11,546 | $631K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 76819 | 14,562 | 8,217 | $1.38M | |
| G0463 | Hospital outpt clinic visit | 11,659 | 8,563 | $1.06M |
| 76811 | 2,770 | 2,687 | $478K | |
| 76805 | 3,224 | 3,112 | $289K | |
| 76816 | 10,684 | 9,283 | $227K | |
| 76825 | 519 | 495 | $207K | |
| 76817 | 4,219 | 3,635 | $170K | |
| 76801 | 988 | 944 | $88K | |
| 76830 | 719 | 704 | $58K | |
| 76815 | 7,204 | 3,948 | $33K | |
| G0101 | Ca screen;pelvic/breast exam | 472 | 451 | $25K |
| 76813 | 229 | 228 | $17K | |
| 76856 | 191 | 190 | $16K | |
| 87591 | 649 | 622 | $7K | |
| 87491 | 649 | 622 | $7K | |
| 96372 | 254 | 190 | $5K | |
| 87481 | 960 | 472 | $5K | |
| 99395 | 51 | 51 | $4K | |
| 87511 | 507 | 472 | $3K | |
| 87661 | 539 | 497 | $3K | |
| 87624 | 286 | 279 | $2K | |
| 88175 | 90 | 84 | $2K | |
| G0008 | Admin influenza virus vac | 53 | 51 | $1K |
| 99396 | 16 | 15 | $1K | |
| 88142 | 321 | 309 | $1K | |
| 90471 | 67 | 66 | $862.34 | |
| 90686 | 49 | 49 | $753.00 | |
| Q0091 | Obtaining screen pap smear | 41 | 39 | $683.11 |
| 76820 | 2,767 | 1,176 | $567.37 | |
| 87086 | 302 | 290 | $250.65 | |
| Q3014 | Telehealth facility fee | 15 | 15 | $237.90 |
| 88305 | 25 | 24 | $182.14 | |
| 81025 | 121 | 120 | $154.28 | |
| 76821 | 416 | 242 | $97.15 | |
| 87070 | 96 | 96 | $61.42 | |
| G0145 | Scr c/v cyto,thinlayer,rescr | 87 | 80 | $5.35 |
| 93325 | 182 | 168 | $0.00 | |
| 90715 | 41 | 40 | $0.00 |