NPI: 1346267879 · PORTLAND, ME 04101 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21,652 | $741K |
| 2019 | 22,688 | $762K |
| 2020 | 2,900 | $137K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 19,745 | 15,596 | $1.24M |
| G0008 | Admin influenza virus vac | 2,002 | 1,975 | $49K |
| 99391 | 778 | 726 | $44K | |
| 90471 | 2,125 | 2,030 | $40K | |
| 99392 | 612 | 609 | $35K | |
| 99393 | 492 | 490 | $28K | |
| 97110 | 1,742 | 927 | $28K | |
| 90832 | 389 | 324 | $26K | |
| G0009 | Admin pneumococcal vaccine | 796 | 785 | $19K |
| 97140 | 1,299 | 616 | $17K | |
| 99396 | 384 | 350 | $16K | |
| 90686 | 1,791 | 1,769 | $13K | |
| 99395 | 257 | 238 | $12K | |
| 90791 | 153 | 143 | $11K | |
| 90670 | 629 | 623 | $8K | |
| 96372 | 302 | 261 | $6K | |
| 87591 | 294 | 274 | $6K | |
| 87491 | 295 | 274 | $6K | |
| 99394 | 97 | 97 | $6K | |
| 90732 | 139 | 138 | $6K | |
| 80061 | 514 | 502 | $4K | |
| 90651 | 79 | 77 | $2K | |
| D0145 | 128 | 127 | $2K | |
| 97161 | 82 | 74 | $2K | |
| 84443 | 535 | 524 | $1K | |
| 80305 | 933 | 692 | $1K | |
| 80053 | 808 | 777 | $1K | |
| 97014 | 66 | 40 | $1K | |
| 96127 | 114 | 113 | $901.71 | |
| 90853 | 16 | 12 | $862.58 | |
| 85025 | 662 | 645 | $707.24 | |
| 83036 | 510 | 495 | $634.80 | |
| D1206 | 50 | 50 | $588.00 | |
| 87624 | 70 | 70 | $560.86 | |
| 98925 | 422 | 370 | $537.50 | |
| 36415 | 1,452 | 1,321 | $396.67 | |
| 80048 | 283 | 257 | $373.60 | |
| 90662 | 112 | 108 | $366.74 | |
| 88142 | 61 | 60 | $363.78 | |
| 81025 | 337 | 321 | $250.33 | |
| 98926 | 303 | 278 | $154.53 | |
| 87086 | 340 | 325 | $147.00 | |
| 85610 | 313 | 168 | $136.22 | |
| 86803 | 52 | 44 | $104.42 | |
| 87389 | 28 | 26 | $88.20 | |
| 98927 | 31 | 28 | $64.91 | |
| 90715 | 563 | 533 | $44.00 | |
| 90744 | 219 | 217 | $31.00 | |
| 87804 | 28 | 14 | $23.42 | |
| 81002 | 561 | 533 | $15.72 | |
| 82043 | 26 | 25 | $10.44 | |
| 87070 | 46 | 45 | $8.80 | |
| 85027 | 18 | 14 | $6.62 | |
| 81001 | 14 | 13 | $3.24 | |
| 87880 | 31 | 31 | $0.00 | |
| 83037 | 544 | 528 | $0.00 | |
| 90633 | 147 | 147 | $0.00 | |
| 90707 | 30 | 30 | $0.00 | |
| 90700 | 12 | 12 | $0.00 | |
| 90472 | 743 | 731 | $0.00 | |
| 90685 | 57 | 57 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 109 | 94 | $0.00 |
| 90681 | 84 | 84 | $0.00 | |
| 36416 | 845 | 802 | $0.00 | |
| 90698 | 379 | 376 | $0.00 | |
| J1030 | Methylprednisolone 40 mg inj | 82 | 75 | $0.00 |
| 90474 | 80 | 80 | $0.00 |