Nes Medical Services of New England INC
Nes Medical Services of New England INC was paid $348K by Medicaid between Jan 2022 and Dec 2023, across 17 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 44% of everything it billed.
BANGOR, ME 04401
Next to other Emergency Medicine Physician providers in Maine
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 1,763 | $53K | |
| 2023 | 7,925 | $295K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 44% | 3,585 | 1,339 | $153K |
| 99223 | Prolong inpt eval add15 m | 20% | 897 | 807 | $70K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 2,078 | 805 | $65K |
| 99239 | Hospital discharge day management, more than 30 minutes | 10% | 788 | 720 | $36K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.8% | 447 | 288 | $10K |
| 99310 | Prolong nursin fac eval 15m | 1.4% | 151 | 141 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 134 | 117 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 27 | 24 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 69 | 26 | $1K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 18 | 12 | $947.85 |
| 99307 | <1% | 87 | 65 | $874.50 | |
| 99316 | <1% | 13 | 12 | $762.68 |
5 more codes
| 99221 | <1% | 14 | $701.05 | |
| 99497 | <1% | 25 | $361.75 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,278 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 43 | $0.00 |
| 1123F | 0% | 34 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Emergency Medical Services of Lorain, INC. | Lorain, OH | $6.88M |
| Ultimate Home Care LLC, Dba Oak View Health Services | Idabel, OK | $4.68M |
| Nes Georgia INC | Elizabeth, NJ | $4.66M |
| Nes of Sandusky INC | Logansport, IN | $2.72M |
| Nes Tennessee INC | Montgomery, AL | $1.76M |
| Whitaker National Corporation | Jackson, KY | $1.69M |
| Whitaker National Corporation | Paintsville, KY | $1.62M |
| Emergency Medical Services of Lorain, INC. | Oberlin, OH | $1.58M |
| Commonwealth of Kentucky | Louisville, KY | $1.51M |
| Whitaker National Corporation | Louisa, KY | $1.19M |
| Nes Tennessee INC | Monroeville, AL | $915K |
| Jennifer C Moore MSW LCSW INC | Las Vegas, NV | $620K |
| Nes Kentucky INC | Nashville, AR | $617K |
| Hles of Ohio INC | East Liverpool, OH | $553K |
| Commonwealth of Kentucky | Somerset, KY | $451K |
| Commonwealth of Kentucky | Lexington, KY | $435K |
| Nes Louisiana INC | Springhill, LA | $257K |
| Hles of Ohio, INC. | Wauseon, OH | $229K |
| Ultimate Home Care LLC, Dba Oak View Helath Services | Idabel, OK | $181K |
| Commonwealth of Kentucky | Hopkinsville, KY | $151K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.