Cusick, Brian

Cusick, Brian was paid $45K by Medicaid between Nov 2023 and Oct 2024, across 3 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 63% of everything it billed.

33Billing provider infoCUSICK, BRIAN
AUGUSTA, ME 04330

33aNPI1174578793assigned 05/23/2006

33bProvider typeOtolaryngology Physician

28Total paid$45K

24GClaims311

24DCodes billed3

24AFirst – last monthNov 2023 – Oct 2024

Compared with peers

Next to other Otolaryngology Physician providers in Maine

Rank by total paid#4 of 5

Median peer was paid$86K

This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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
2023	35	$4K
2024incomplete	276	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
42820	Tonsillectomy and adenoidectomy; younger than age 12	63%	152	141	$29K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	25%	94	83	$11K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12%	65	57	$5K

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.