Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAINE MEDICAL PARTNERS

NPI: 1346687167 · SCARBOROUGH, ME 04074 · Dermatology Physician · NPI assigned 06/03/2013

$590K
Total Medicaid Paid
17,568
Total Claims
14,623
Beneficiaries
37
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialJAUREGUI, DONNA (DIR-PRVDR ENROLLMENT & CVO, MHMG PA)
NPI Enumeration Date06/03/2013

Related Entities

Other providers sharing the same authorized official: JAUREGUI, DONNA

ProviderCityStateTotal Paid
MAINE MEDICAL PARTNERS SCARBOROUGH ME $947K
MAINE MEDICAL PARTNERS SCARBOROUGH ME $585K
MAINE MEDICAL PARTNERS SCARBOROUGH ME $284K
MAINE MEDICAL PARTNERS PORTLAND ME $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 459 $14K
2019 1,328 $39K
2020 1,343 $45K
2021 3,715 $124K
2022 5,151 $181K
2023 5,572 $188K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,107 4,412 $173K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,272 2,114 $160K
99232 Subsequent hospital care, per day, moderate complexity 2,175 1,019 $62K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 836 813 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,177 1,112 $33K
99215 Prolong outpt/office vis 413 363 $21K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 195 69 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 199 194 $13K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,454 1,333 $12K
90961 169 163 $11K
99233 Prolong inpt eval add15 m 215 108 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 298 96 $8K
76536 444 432 $6K
90966 103 89 $6K
90935 Hemodialysis procedure with single evaluation by a physician 163 76 $5K
99451 185 182 $4K
99223 Prolong inpt eval add15 m 41 38 $4K
99222 Initial hospital care, per day, moderate complexity 50 48 $2K
99205 Prolong outpt/office vis 25 24 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 15 15 $2K
80069 275 264 $1K
88312 51 50 $1K
36415 Collection of venous blood by venipuncture 766 698 $759.40
88304 109 104 $758.27
83970 47 47 $722.30
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 37 37 $395.83
82570 133 132 $334.10
88342 207 192 $261.57
84156 130 129 $224.53
80053 Comprehensive metabolic panel 47 46 $209.79
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $162.19
85025 Blood count; complete (CBC), automated, and automated differential WBC count 42 41 $143.75
99441 12 12 $102.79
85027 39 39 $89.27
84100 47 44 $77.47
84550 45 44 $73.91
81001 32 32 $51.56