NPI: 1376618546 · HOULTON, ME 04730 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25,923 | $1.89M |
| 2019 | 38,512 | $2.74M |
| 2020 | 37,287 | $2.73M |
| 2021 | 48,266 | $3.55M |
| 2022 | 45,677 | $3.62M |
| 2023 | 59,086 | $4.02M |
| 2024 | 63,671 | $3.96M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 95,210 | 66,629 | $20.27M |
| G0467 | Fqhc visit, estab pt | 18,521 | 13,485 | $1.29M |
| G0470 | Fqhc visit, mh estab pt | 3,815 | 3,139 | $472K |
| 99213 | 49,668 | 39,960 | $147K | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 884 | 865 | $107K |
| 99214 | 13,802 | 11,999 | $41K | |
| 99212 | 17,271 | 12,081 | $38K | |
| 98940 | 9,319 | 5,814 | $22K | |
| 99406 | 1,048 | 941 | $11K | |
| D1206 | 2,615 | 2,539 | $9K | |
| 90832 | 1,473 | 693 | $9K | |
| 90837 | 2,225 | 1,071 | $9K | |
| G2025 | Dis site tele svcs rhc/fqhc | 119 | 51 | $8K |
| 92014 | 4,215 | 3,964 | $8K | |
| G0008 | Admin influenza virus vac | 1,063 | 1,004 | $7K |
| 98941 | 2,958 | 1,719 | $6K | |
| G0468 | Fqhc visit, ippe or awv | 392 | 390 | $4K |
| 99393 | 1,099 | 1,051 | $4K | |
| 90834 | 1,009 | 549 | $4K | |
| 99395 | 1,282 | 1,212 | $3K | |
| 36415 | 7,628 | 6,872 | $3K | |
| 99394 | 763 | 719 | $3K | |
| 81002 | 2,949 | 2,613 | $2K | |
| D0140 | 2,163 | 2,036 | $2K | |
| 99396 | 926 | 864 | $2K | |
| 11721 | 1,481 | 1,288 | $2K | |
| 97140 | 362 | 166 | $2K | |
| D1120 | 1,599 | 1,549 | $1K | |
| 99202 | 652 | 620 | $1K | |
| 80305 | 314 | 274 | $1K | |
| 90791 | 217 | 189 | $1K | |
| 92551 | 4,393 | 4,204 | $1K | |
| 3078F | 5,490 | 4,635 | $1K | |
| 99392 | 419 | 404 | $1K | |
| G0009 | Admin pneumococcal vaccine | 150 | 147 | $990.53 |
| 90688 | 198 | 186 | $987.16 | |
| D1110 | 1,100 | 1,070 | $958.11 | |
| 3725F | 926 | 796 | $799.01 | |
| 87880 | 5,881 | 5,439 | $762.74 | |
| 99173 | 3,172 | 3,083 | $709.64 | |
| 90792 | 83 | 78 | $631.33 | |
| 3080F | 290 | 247 | $600.15 | |
| 96110 | 731 | 632 | $573.20 | |
| 3079F | 2,366 | 1,984 | $557.42 | |
| D0330 | 651 | 634 | $535.20 | |
| D0120 | 970 | 945 | $475.17 | |
| 99215 | Prolong outpt/office vis | 141 | 132 | $437.69 |
| 99188 | 70 | 62 | $325.61 | |
| G0439 | Ppps, subseq visit | 282 | 277 | $309.19 |
| 96127 | 5,371 | 4,039 | $287.55 | |
| 83036 | 1,084 | 979 | $286.09 | |
| 87804 | 1,697 | 1,581 | $254.50 | |
| D0274 | 210 | 196 | $252.01 | |
| 96372 | 868 | 716 | $246.43 | |
| D0272 | 592 | 577 | $238.14 | |
| D0220 | 1,371 | 1,288 | $235.14 | |
| G0127 | Trim nail(s) | 279 | 275 | $230.25 |
| G0444 | Depression screen annual | 1,085 | 1,033 | $229.36 |
| 90471 | 1,935 | 1,830 | $119.52 | |
| 90686 | 178 | 156 | $94.21 | |
| 0134A | 37 | 35 | $63.43 | |
| 87811 | 2,272 | 2,059 | $27.48 | |
| 93000 | 77 | 66 | $20.70 | |
| 81025 | 129 | 123 | $14.87 | |
| 90472 | 453 | 429 | $5.78 | |
| 1160F | 4,750 | 4,067 | $0.81 | |
| 3008F | 8,823 | 7,369 | $0.51 | |
| 3074F | 6,195 | 5,190 | $0.41 | |
| 2028F | 360 | 315 | $0.24 | |
| 3075F | 1,494 | 1,257 | $0.12 | |
| 3077F | 492 | 431 | $0.04 | |
| D0145 | 309 | 306 | $0.00 | |
| 11719 | 1,191 | 1,057 | $0.00 | |
| D2391 | 16 | 15 | $0.00 | |
| 99203 | 317 | 294 | $0.00 | |
| G2023 | Specimen collect covid-19 | 970 | 941 | $0.00 |
| 11056 | 13 | 12 | $0.00 | |
| 90863 | 65 | 65 | $0.00 | |
| 0013A | 26 | 26 | $0.00 | |
| 99401 | 42 | 40 | $0.00 | |
| 69209 | 29 | 25 | $0.00 | |
| 91313 | 16 | 16 | $0.00 | |
| 92015 | 14 | 13 | $0.00 | |
| 99391 | 12 | 12 | $0.00 | |
| D7140 | 521 | 458 | $0.00 | |
| 1036F | 112 | 90 | $0.00 | |
| 94640 | 62 | 57 | $0.00 | |
| D0150 | 277 | 275 | $0.00 | |
| D1351 | 86 | 83 | $0.00 | |
| D2392 | 86 | 81 | $0.00 | |
| 91301 | 27 | 27 | $0.00 | |
| 36416 | 44 | 40 | $0.00 | |
| 99070 | 54 | 50 | $0.00 | |
| D0210 | 13 | 13 | $0.00 | |
| 97162 | 13 | 13 | $0.00 |