Physician
Midcoast Pediatrics
Midcoast Pediatrics was paid $76K by Medicaid between Jan 2018 and Feb 2019, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.
33Billing provider infoMIDCOAST PEDIATRICS
BRUNSWICK, ME 04011
BRUNSWICK, ME 04011
33aNPI1346316791assigned 11/28/2006
33bProvider typePediatrics Physician
28Total paid$76K
24GClaims2,108
24DCodes billed5
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Pediatrics Physician providers in Maine
Rank by total paid#12 of 22
Median peer was paid$76K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 1,743 | $64K | |
| 2019 | 365 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 84% | 1,720 | 1,603 | $64K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 259 | 179 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 70 | 70 | $886.38 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 16 | 16 | $399.30 |
| 90686 | 0% | 43 | 42 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialENRIGHT, DAVID (CEO)