Martin's Point Health Care, INC.

Martin's Point Health Care, INC. was paid $5.94M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.

33Billing provider infoMARTIN'S POINT HEALTH CARE, INC.
PORTLAND, ME 04104

33aNPI1366474611assigned 07/07/2006

33bProvider typeNeuromusculoskeletal Medicine & OMM Physician

28Total paid$5.94M

24GClaims126,008

24DCodes billed67

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Neuromusculoskeletal Medicine & OMM Physician providers in Maine

Rank by total paid#1 of 14

Median peer was paid$61K

This provider vs. median98×

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	15,495	$685K
2019	16,183	$709K
2020	13,283	$549K
2021	25,123	$939K
2022	19,786	$1.03M
2023	19,942	$1.12M
2024incomplete	16,196	$908K

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	78%	67,466	62,580	$4.60M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	17,570	16,341	$888K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.3%	4,608	4,470	$75K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	1.1%	1,958	1,688	$63K
0011A		<1%	1,535	1,521	$34K
0012A		<1%	1,513	1,499	$33K
36415	Collection of venous blood by venipuncture	<1%	14,934	13,658	$21K
90686		<1%	2,502	2,415	$20K
80053	Comprehensive metabolic panel	<1%	2,947	2,770	$19K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	627	612	$17K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	408	404	$16K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	188	181	$16K

55 more codes

99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	224	$15K
99215	Doctor's office visit, returning patient (complex)	<1%	122	$13K
90472	Immunization administration, each additional vaccine (list separately)	<1%	938	$13K
99203	Doctor's office visit, new patient (routine)	<1%	157	$10K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	1,690	$8K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	84	$6K
80305		<1%	887	$6K
99204	Doctor's office visit, new patient (more involved)	<1%	69	$6K
80061	Lipid panel	<1%	540	$5K
84443	Thyroid stimulating hormone (TSH)	<1%	403	$4K
99442		<1%	198	$4K
77063	Screening digital breast tomosynthesis, bilateral	<1%	407	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	50	$4K
90682		<1%	37	$3K
0001A		<1%	88	$3K
0240U		<1%	32	$3K
0002A		<1%	72	$3K
0064A		<1%	78	$2K
98927		<1%	67	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	78	$2K
99334		<1%	51	$2K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	15	$1K
92551		<1%	120	$1K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	55	$1K
96127		<1%	208	$1K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	38	$958.32
90673		<1%	13	$907.50
83036	Hemoglobin; glycosylated (A1C)	<1%	129	$849.43
71046	Radiologic examination, chest; 2 views	<1%	66	$737.14
0031A		<1%	44	$723.64
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	14	$664.44
93000		<1%	90	$612.63
90480		<1%	14	$547.54
99177		<1%	55	$537.68
92552		<1%	28	$360.92
90461		<1%	13	$325.92
99441		<1%	39	$309.03
D1206	Topical application of fluoride varnish	<1%	12	$294.72
99173		<1%	59	$249.57
83655		<1%	13	$148.44
94760		<1%	73	$148.40
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	12	$128.81
96160		<1%	40	$76.81
80048	Basic metabolic panel (calcium, ionized)	<1%	15	$50.25
85018		<1%	15	$31.46
91301		0%	1,888	$0.00
G0008	Administration of influenza virus vaccine	0%	30	$0.00
91307		0%	43	$0.00
90656		0%	87	$0.00
91306		0%	43	$0.00
90698		0%	12	$0.00
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	13	$0.00
91308		0%	12	$0.00
90671		0%	14	$0.00
91300		0%	158	$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 officialMCCORMACK, DAN (CHIEF OPERATING OFFICER)