NPI: 1467557280 · PORTLAND, ME 04102 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,169 | $152K |
| 2019 | 2,614 | $329K |
| 2020 | 2,541 | $398K |
| 2021 | 3,054 | $663K |
| 2022 | 4,851 | $765K |
| 2023 | 3,417 | $656K |
| 2024 | 3,366 | $544K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0178 | Aflibercept injection | 2,921 | 2,525 | $2.30M |
| J2777 | Inj, faricimab-svoa, 0.1mg | 506 | 478 | $497K |
| 67028 | 6,041 | 5,434 | $304K | |
| 92134 | 9,944 | 8,911 | $169K | |
| J2778 | Ranibizumab injection | 414 | 338 | $166K |
| 99213 | 1,199 | 1,134 | $36K | |
| 92014 | 177 | 172 | $8K | |
| 66984 | 46 | 25 | $6K | |
| 92136 | 330 | 307 | $6K | |
| 99204 | 50 | 50 | $4K | |
| 92201 | 250 | 212 | $2K | |
| 99214 | 30 | 29 | $2K | |
| 99203 | 14 | 12 | $692.42 | |
| 92285 | 46 | 44 | $518.43 | |
| 92020 | 16 | 15 | $185.49 | |
| 92226 | 14 | 14 | $136.11 | |
| 92202 | 14 | 14 | $92.31 |