NPI: 1215940523 · BANGOR, ME 04401 · 283Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 124,811 | $1.68M |
| 2019 | 115,045 | $1.60M |
| 2020 | 90,268 | $2.13M |
| 2021 | 118,409 | $2.32M |
| 2022 | 122,106 | $2.20M |
| 2023 | 87,339 | $2.12M |
| 2024 | 55,059 | $2.08M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 106,344 | 94,607 | $4.61M | |
| 90837 | 54,976 | 26,138 | $2.03M | |
| 90853 | 140,810 | 31,865 | $1.78M | |
| 99232 | 30,722 | 8,747 | $1.31M | |
| 99233 | Prolong inpt eval add15 m | 12,836 | 3,624 | $770K |
| 99213 | 23,035 | 19,037 | $643K | |
| G0463 | Hospital outpt clinic visit | 75,485 | 65,248 | $586K |
| 90792 | 7,529 | 7,139 | $483K | |
| Q3014 | Telehealth facility fee | 91,482 | 42,871 | $451K |
| 90847 | 8,180 | 4,423 | $332K | |
| 99215 | Prolong outpt/office vis | 5,702 | 5,365 | $329K |
| 90791 | 7,329 | 7,144 | $266K | |
| 99231 | 5,223 | 3,842 | $120K | |
| 90832 | 11,270 | 4,903 | $100K | |
| 90834 | 4,607 | 3,425 | $81K | |
| 90846 | 1,263 | 645 | $55K | |
| G0378 | Hospital observation per hr | 2,487 | 1,203 | $23K |
| 99239 | 396 | 368 | $23K | |
| 99212 | 1,409 | 1,017 | $20K | |
| 96372 | 4,584 | 3,752 | $20K | |
| 90870 | 413 | 163 | $15K | |
| 90785 | 12,879 | 1,845 | $12K | |
| 96131 | 201 | 199 | $11K | |
| 93010 | 1,212 | 1,132 | $7K | |
| 96137 | 200 | 198 | $6K | |
| 96116 | 349 | 330 | $6K | |
| 96136 | 229 | 223 | $3K | |
| 93005 | 2,068 | 2,012 | $3K | |
| 99238 | 80 | 73 | $3K | |
| G0379 | Direct refer hospital observ | 275 | 266 | $3K |
| 96133 | 12 | 12 | $3K | |
| 97530 | 25,264 | 6,373 | $3K | |
| 96121 | 13 | 13 | $2K | |
| 99218 | 29 | 27 | $899.14 | |
| 80305 | 7,867 | 6,482 | $850.15 | |
| 90833 | 50 | 50 | $824.20 | |
| 99221 | 18 | 14 | $517.91 | |
| 99442 | 16 | 16 | $370.56 | |
| 96130 | 563 | 553 | $357.02 | |
| 97533 | 16,021 | 4,802 | $356.91 | |
| 97129 | 2,435 | 836 | $191.00 | |
| 96132 | 90 | 83 | $33.43 | |
| 97535 | 242 | 127 | $0.00 | |
| H0004 | Alcohol and/or drug services | 418 | 66 | $0.00 |
| 97165 | 97 | 95 | $0.00 | |
| G0515 | Cognitive skills development | 661 | 181 | $0.00 |
| 97166 | 26 | 25 | $0.00 | |
| 90686 | 15 | 15 | $0.00 | |
| 97150 | 36,035 | 3,499 | $0.00 | |
| S9480 | Intensive outpatient psychia | 9,312 | 794 | $0.00 |
| 81025 | 55 | 52 | $0.00 | |
| 96138 | 39 | 37 | $0.00 | |
| G2067 | Med assist tx meth wk | 184 | 24 | $0.00 |