Maine Medical Partners
Maine Medical Partners was paid $2.62M by Medicaid between Jan 2018 and Dec 2023, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
SCARBOROUGH, ME 04074
Next to other Family 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 | |
|---|---|---|---|
| 2018 | 2,420 | $88K | |
| 2019 | 2,195 | $74K | |
| 2020 | 9,596 | $324K | |
| 2021 | 18,082 | $660K | |
| 2022 | 18,246 | $726K | |
| 2023 | 18,283 | $748K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 35,418 | 33,575 | $1.54M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 22,106 | 21,116 | $682K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 2,076 | 1,979 | $106K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 1,228 | 1,205 | $66K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.0% | 1,948 | 1,549 | $52K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 766 | 720 | $45K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.7% | 680 | 644 | $44K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 1,049 | 333 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 257 | 251 | $14K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 281 | 207 | $9K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 101 | 97 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 122 | 121 | $6K |
20 more codes
| 99442 | <1% | 266 | $5K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 146 | $3K |
| 99443 | <1% | 89 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 42 | $2K |
| 98925 | <1% | 191 | $2K | |
| 99334 | <1% | 56 | $1K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 28 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 25 | $1K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 25 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 137 | $959.72 |
| 0001A | <1% | 30 | $857.67 | |
| 99441 | <1% | 72 | $750.46 | |
| 97810 | <1% | 1,512 | $699.94 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $591.93 |
| 99347 | <1% | 29 | $550.60 | |
| 98926 | <1% | 26 | $431.24 | |
| 98968 | <1% | 12 | $186.27 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 40 | $0.00 |
| 97813 | 0% | 14 | $0.00 | |
| 91300 | 0% | 33 | $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 |
|---|---|---|
| Maine Medical Partners | Portland, ME | $2.97M |
| Maine Medical Partners | Portland, ME | $2.23M |
| Maine Medical Partners | Scarborough, ME | $1.45M |
| Maine Medical Partners | Saco, ME | $1.37M |
| Maine Medical Partners | Portland, ME | $765K |
| Maine Medical Partners | Cape Elizabeth, ME | $760K |
| Maine Medical Partners | Portland, ME | $674K |
| Maine Medical Partners | Scarborough, ME | $395K |
| Maine Medical Partners | Windham, ME | $348K |
| Maine Medical Partners | Scarborough, ME | $314K |
| Maine Medical Partners | Falmouth, ME | $235K |
| Maine Medical Partners | South Portland, ME | $206K |
| Maine Medical Partners | Portland, ME | $814.90 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.