Physician
Maine Medical Partners
Maine Medical Partners was paid $590K by Medicaid between Jan 2018 and Dec 2023, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoMAINE MEDICAL PARTNERS
SCARBOROUGH, ME 04074
SCARBOROUGH, ME 04074
33aNPI1346687167assigned 06/03/2013
33bProvider typeDermatology Physician
28Total paid$590K
24GClaims17,568
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2023
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 | 459 | $14K | |
| 2019 | 1,328 | $39K | |
| 2020 | 1,343 | $45K | |
| 2021 | 3,715 | $124K | |
| 2022 | 5,151 | $181K | |
| 2023 | 5,572 | $188K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 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 | 27% | 2,272 | 2,114 | $160K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 2,175 | 1,019 | $62K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.9% | 836 | 813 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 1,177 | 1,112 | $33K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.6% | 413 | 363 | $21K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.9% | 195 | 69 | $17K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 199 | 194 | $13K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.0% | 1,454 | 1,333 | $12K |
| 90961 | 1.8% | 169 | 163 | $11K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.6% | 215 | 108 | $10K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.3% | 298 | 96 | $8K |
25 more codes
| 76536 | 1.0% | 444 | $6K | |
| 90966 | 1.0% | 103 | $6K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 163 | $5K |
| 99451 | <1% | 185 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 41 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 50 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 25 | $2K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 15 | $2K |
| 80069 | <1% | 275 | $1K | |
| 88312 | <1% | 51 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 766 | $759.40 |
| 88304 | <1% | 109 | $758.27 | |
| 83970 | <1% | 47 | $722.30 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 37 | $395.83 |
| 82570 | <1% | 133 | $334.10 | |
| 88342 | <1% | 207 | $261.57 | |
| 84156 | <1% | 130 | $224.53 | |
| 80053 | Comprehensive metabolic panel | <1% | 47 | $209.79 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $162.19 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 42 | $143.75 |
| 99441 | <1% | 12 | $102.79 | |
| 85027 | <1% | 39 | $89.27 | |
| 84100 | <1% | 47 | $77.47 | |
| 84550 | <1% | 45 | $73.91 | |
| 81001 | <1% | 32 | $51.56 |
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 officialJAUREGUI, DONNA (DIR-PRVDR ENROLLMENT & CVO, MHMG PA)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.