Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SACO BAY MENTAL HEALTH LLC

NPI: 1144927062 · SCARBOROUGH, ME 04074 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 02/10/2023

$30K
Total Medicaid Paid
421
Total Claims
367
Beneficiaries
3
Codes Billed
2024-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKINGSLEY, SAMUEL (OWNER)
NPI Enumeration Date02/10/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 421 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 228 196 $19K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 181 159 $9K
99205 Prolong outpt/office vis 12 12 $2K