NPI: 1477629384 · DAMARISCOTTA, ME 04543 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,576 | $768K |
| 2019 | 14,063 | $947K |
| 2020 | 12,469 | $1.22M |
| 2021 | 15,484 | $1.45M |
| 2022 | 16,005 | $1.59M |
| 2023 | 16,549 | $1.69M |
| 2024 | 17,702 | $1.94M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 38,095 | 31,263 | $8.87M |
| 99213 | 16,368 | 14,978 | $242K | |
| 99214 | 10,501 | 9,846 | $214K | |
| 90832 | 2,728 | 2,024 | $52K | |
| G0008 | Admin influenza virus vac | 3,453 | 3,417 | $36K |
| 90834 | 1,700 | 1,313 | $23K | |
| 90686 | 3,347 | 3,308 | $18K | |
| 99215 | Prolong outpt/office vis | 1,131 | 1,077 | $18K |
| G0009 | Admin pneumococcal vaccine | 1,561 | 1,543 | $16K |
| G2025 | Dis site tele svcs rhc/fqhc | 92 | 75 | $13K |
| 90677 | 323 | 315 | $12K | |
| 91320 | 89 | 87 | $10K | |
| 99212 | 690 | 642 | $9K | |
| 90656 | 275 | 273 | $8K | |
| 90480 | 212 | 210 | $6K | |
| 99204 | 290 | 284 | $5K | |
| 90791 | 465 | 452 | $4K | |
| 99393 | 2,219 | 2,202 | $4K | |
| 90471 | 2,907 | 2,857 | $4K | |
| G2211 | Complex e/m visit add on | 591 | 562 | $3K |
| 0124A | 72 | 71 | $3K | |
| 0134A | 68 | 68 | $2K | |
| 99392 | 2,404 | 2,380 | $2K | |
| 90670 | 1,151 | 1,142 | $2K | |
| 99309 | 15 | 14 | $1K | |
| 0064A | 91 | 89 | $1K | |
| 93010 | 1,142 | 1,082 | $1K | |
| 99394 | 1,440 | 1,433 | $1K | |
| 0054A | 35 | 35 | $1K | |
| 90847 | 90 | 78 | $1K | |
| 90472 | 2,803 | 2,783 | $1K | |
| 99391 | 2,073 | 2,014 | $1K | |
| 96110 | 280 | 274 | $1K | |
| 0112A | 25 | 25 | $887.52 | |
| 90474 | 663 | 655 | $844.11 | |
| 0111A | 26 | 26 | $776.58 | |
| 90715 | 374 | 370 | $723.76 | |
| 99395 | 176 | 172 | $656.95 | |
| 99188 | 281 | 277 | $642.65 | |
| 99350 | Prolong home eval add 15m | 12 | 12 | $608.59 |
| 90685 | 48 | 48 | $545.10 | |
| 0154A | 12 | 12 | $443.76 | |
| 90680 | 633 | 633 | $434.75 | |
| G0439 | Ppps, subseq visit | 15 | 15 | $425.44 |
| 90619 | 93 | 93 | $269.00 | |
| 0071A | 48 | 47 | $223.43 | |
| 90651 | 362 | 362 | $184.43 | |
| 90710 | 131 | 131 | $184.43 | |
| 99203 | 28 | 26 | $125.19 | |
| 90734 | 104 | 103 | $54.32 | |
| 99442 | 53 | 51 | $46.32 | |
| 0074A | 29 | 29 | $43.86 | |
| 36415 | 64 | 62 | $37.54 | |
| 0072A | 35 | 35 | $37.29 | |
| 0002A | 81 | 78 | $32.17 | |
| 0001A | 42 | 42 | $29.40 | |
| 96372 | 30 | 27 | $27.79 | |
| 36416 | 178 | 159 | $7.24 | |
| 90723 | 136 | 136 | $0.00 | |
| 90697 | 89 | 85 | $0.00 | |
| 91301 | 24 | 24 | $0.00 | |
| 99443 | 14 | 13 | $0.00 | |
| 90648 | 408 | 407 | $0.00 | |
| 90633 | 460 | 456 | $0.00 | |
| 91300 | 193 | 172 | $0.00 | |
| 90681 | 75 | 68 | $0.00 | |
| 90671 | 96 | 95 | $0.00 | |
| 99396 | 81 | 79 | $0.00 | |
| 98968 | 28 | 20 | $0.00 |