NPI: 1477008373 · PORTLAND, ME 04103 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 76 | $13K |
| 2021 | 852 | $87K |
| 2022 | 1,741 | $165K |
| 2023 | 2,190 | $247K |
| 2024 | 2,902 | $339K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 3,748 | 2,412 | $828K |
| T1013 | Sign lang/oral interpreter | 493 | 409 | $16K |
| 99213 | 1,119 | 951 | $2K | |
| 90832 | 246 | 126 | $1K | |
| 0002A | 27 | 27 | $1K | |
| 99214 | 661 | 570 | $751.44 | |
| 0001A | 19 | 19 | $671.22 | |
| 0004A | 17 | 17 | $628.66 | |
| G0008 | Admin influenza virus vac | 27 | 27 | $525.72 |
| 90471 | 513 | 494 | $35.44 | |
| D1110 | 171 | 163 | $0.00 | |
| 90472 | 178 | 172 | $0.00 | |
| 90713 | 43 | 42 | $0.00 | |
| 90715 | 40 | 38 | $0.00 | |
| 99188 | 104 | 104 | $0.00 | |
| 91300 | 119 | 104 | $0.00 | |
| 99211 | 12 | 12 | $0.00 | |
| 99212 | 14 | 12 | $0.00 | |
| 90651 | 70 | 70 | $0.00 | |
| D1206 | 82 | 73 | $0.00 | |
| 90686 | 31 | 31 | $0.00 | |
| 90656 | 15 | 15 | $0.00 | |
| 90619 | 12 | 12 | $0.00 |