NPI: 1467422733 · SOUTH PORTLAND, ME 04106 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,558 | $144K |
| 2019 | 2,672 | $116K |
| 2020 | 1,817 | $87K |
| 2021 | 4,434 | $132K |
| 2022 | 2,752 | $122K |
| 2023 | 2,710 | $122K |
| 2024 | 2,012 | $97K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 5,876 | 5,393 | $382K | |
| 99213 | 3,552 | 3,273 | $209K | |
| 90471 | 3,477 | 3,197 | $63K | |
| 99232 | 1,435 | 752 | $60K | |
| 99233 | Prolong inpt eval add15 m | 471 | 286 | $22K |
| 0001A | 548 | 533 | $12K | |
| 0002A | 488 | 477 | $12K | |
| 99394 | 108 | 108 | $12K | |
| 99222 | 174 | 165 | $10K | |
| 91320 | 91 | 89 | $6K | |
| 90688 | 223 | 154 | $6K | |
| 90480 | 174 | 172 | $4K | |
| 99393 | 36 | 36 | $4K | |
| 87635 | 91 | 83 | $3K | |
| 0124A | 92 | 87 | $2K | |
| 90472 | 132 | 131 | $2K | |
| 0004A | 72 | 72 | $2K | |
| 97530 | 51 | 25 | $2K | |
| 99204 | 16 | 12 | $1K | |
| 99392 | 12 | 12 | $1K | |
| 90658 | 44 | 42 | $930.00 | |
| 0012A | 47 | 47 | $758.19 | |
| 0011A | 93 | 74 | $663.15 | |
| 90686 | 1,050 | 988 | $544.14 | |
| 0072A | 13 | 12 | $447.48 | |
| 36415 | 258 | 241 | $440.14 | |
| 97110 | 26 | 15 | $384.56 | |
| 99231 | 20 | 13 | $175.44 | |
| 84443 | 12 | 12 | $173.00 | |
| 0003A | 15 | 14 | $149.16 | |
| 80053 | 13 | 12 | $137.28 | |
| 92567 | 16 | 12 | $100.26 | |
| 92551 | 13 | 13 | $98.67 | |
| 90656 | 89 | 89 | $22.35 | |
| G0008 | Admin influenza virus vac | 67 | 67 | $0.00 |
| 91301 | 84 | 64 | $0.00 | |
| 90651 | 12 | 12 | $0.00 | |
| 91307 | 28 | 27 | $0.00 | |
| 91312 | 68 | 67 | $0.00 | |
| 91300 | 854 | 820 | $0.00 | |
| 91321 | 14 | 14 | $0.00 |