NPI: 1376981993 · PORTLAND, ME 04102 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,446 | $148K |
| 2019 | 7,167 | $222K |
| 2020 | 6,091 | $229K |
| 2021 | 7,490 | $294K |
| 2022 | 8,617 | $300K |
| 2023 | 7,588 | $339K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 33,500 | 28,413 | $1.46M |
| 93880 | 472 | 468 | $26K | |
| 11102 | 294 | 287 | $13K | |
| 93922 | 1,253 | 1,238 | $8K | |
| 93926 | 120 | 118 | $4K | |
| 76536 | 379 | 354 | $4K | |
| 80053 | 810 | 626 | $4K | |
| 85025 | 1,005 | 786 | $3K | |
| 17110 | 170 | 167 | $3K | |
| 93923 | 54 | 54 | $3K | |
| 88305 | 1,275 | 1,070 | $2K | |
| 36415 | 866 | 729 | $646.38 | |
| Q3014 | Telehealth facility fee | 37 | 37 | $333.45 |
| 96372 | 13 | 12 | $322.82 | |
| 46600 | 151 | 149 | $209.22 |