Physician
Waterville Family Practice
Waterville Family Practice was paid $430K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoWATERVILLE FAMILY PRACTICE
WATERVILLE, ME 04901
WATERVILLE, ME 04901
33aNPI1386634707assigned 10/26/2005
33bProvider typeFamily Medicine Physician
28Total paid$430K
24GClaims16,024
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Maine
Rank by total paid#22 of 84
Median peer was paid$67K
This provider vs. median6.4×
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 | 1,783 | $44K | |
| 2019 | 2,369 | $61K | |
| 2020 | 1,760 | $62K | |
| 2021 | 2,302 | $74K | |
| 2022 | 2,122 | $72K | |
| 2023 | 3,022 | $68K | |
| 2024incomplete | 2,666 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 47% | 5,470 | 3,763 | $200K |
| 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 | 45% | 4,222 | 2,840 | $194K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 462 | 383 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 80 | 62 | $8K |
| 87428 | <1% | 63 | 56 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 472 | 340 | $2K |
| 80061 | Lipid panel | <1% | 339 | 242 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 508 | 370 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,812 | 1,270 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 169 | 102 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 481 | 339 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 12 | $1K |
15 more codes
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 178 | $1K |
| 90682 | <1% | 35 | $1K | |
| 90688 | <1% | 21 | $960.00 | |
| 99457 | <1% | 105 | $832.41 | |
| 90686 | <1% | 97 | $660.00 | |
| 96127 | <1% | 401 | $651.70 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $650.35 |
| 96161 | <1% | 503 | $617.16 | |
| 99458 | <1% | 58 | $613.04 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 53 | $368.26 |
| G2011 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes | <1% | 126 | $112.14 |
| 99454 | <1% | 16 | $103.68 | |
| 96160 | <1% | 278 | $7.85 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 24 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $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 officialBUREAU, JANICE (PRACTICE MANAGER)