VISION CARE OF MAINE LLC
NPI: 1225137847
· BANGOR, ME 04401
· 152W00000X
$4.99M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,780 |
$217K |
| 2019 |
5,090 |
$474K |
| 2020 |
7,085 |
$628K |
| 2021 |
10,698 |
$850K |
| 2022 |
12,148 |
$990K |
| 2023 |
10,116 |
$1.20M |
| 2024 |
9,352 |
$633K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
5,593 |
3,944 |
$3.31M |
| 92004 |
|
6,159 |
5,654 |
$420K |
| 92014 |
|
6,913 |
6,321 |
$346K |
| 67028 |
|
8,133 |
5,685 |
$270K |
| 99214 |
|
6,154 |
5,293 |
$253K |
| 92134 |
|
8,117 |
6,596 |
$110K |
| 66984 |
|
486 |
261 |
$83K |
| 99213 |
|
1,587 |
1,307 |
$52K |
| 92340 |
|
3,242 |
3,050 |
$44K |
| 92235 |
|
894 |
778 |
$30K |
| 99204 |
|
222 |
201 |
$16K |
| 92015 |
|
9,618 |
8,907 |
$10K |
| J9035 |
Bevacizumab injection |
415 |
321 |
$9K |
| J2777 |
Inj, faricimab-svoa, 0.1mg |
24 |
12 |
$9K |
| 92250 |
|
584 |
500 |
$8K |
| 92083 |
|
247 |
223 |
$6K |
| 92133 |
|
383 |
344 |
$6K |
| J2403 |
Chloroprocaine opht gel, 1mg |
152 |
84 |
$4K |
| 92012 |
|
87 |
74 |
$3K |
| 92136 |
|
154 |
76 |
$2K |
| 92020 |
|
15 |
12 |
$134.20 |
| V2020 |
Vision svcs frames purchases |
30 |
30 |
$0.00 |
| V2799 |
Misc vision item or service |
60 |
30 |
$0.00 |