Clinic
ST. Mary's Regional Medical Center
ST. Mary's Regional Medical Center was paid $1.28M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoST. MARY'S REGIONAL MEDICAL CENTER
AUBURN, ME 04210
AUBURN, ME 04210
33aNPI1407242522assigned 04/15/2015
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.28M
24GClaims34,236
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Maine
Rank by total paid#3 of 28
Median peer was paid$297K
This provider vs. median4.3×
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 | 3,567 | $112K | |
| 2019 | 3,955 | $120K | |
| 2020 | 3,278 | $106K | |
| 2021 | 5,476 | $167K | |
| 2022 | 5,081 | $205K | |
| 2023 | 5,858 | $296K | |
| 2024incomplete | 7,021 | $274K |
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 | 64% | 23,887 | 22,902 | $823K |
| 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 | 24% | 7,104 | 6,820 | $311K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 3,056 | 2,925 | $142K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 99 | 97 | $2K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 24 | 24 | $1K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 27 | 26 | $972.47 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | 13 | $203.16 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | 26 | $153.52 |
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 officialBEVERS, DONALD (CHIEF FINANCIAL OFFICER)
Parent organizationST. MARY'S REGIONAL MEDICAL CENTER