NP / PA
Mainehealth
Mainehealth was paid $9.60M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoMAINEHEALTH
DAMARISCOTTA, ME 04543
DAMARISCOTTA, ME 04543
33aNPI1477629384assigned 11/24/2006
33bProvider typeNurse Practitioner
28Total paid$9.60M
24GClaims103,848
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Maine
Rank by total paid#1 of 8
Median peer was paid$20K
This provider vs. median482×
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.
Entity ProliferationAuthorized official HUNTER, ROBERT controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 17,702 | $1.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 92% | 38,095 | 31,263 | $8.87M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 16,368 | 14,978 | $242K |
| 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 | 2.2% | 10,501 | 9,846 | $214K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,728 | 2,024 | $52K |
| G0008 | Administration of influenza virus vaccine | <1% | 3,453 | 3,417 | $36K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,700 | 1,313 | $23K |
| 90686 | <1% | 3,347 | 3,308 | $18K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,131 | 1,077 | $18K |
| G0009 | Administration of pneumococcal vaccine | <1% | 1,561 | 1,543 | $16K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 92 | 75 | $13K |
| 90677 | <1% | 323 | 315 | $12K | |
| 91320 | <1% | 89 | 87 | $10K |
57 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 690 | $9K |
| 90656 | <1% | 275 | $8K | |
| 90480 | <1% | 212 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 290 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 465 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,219 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,907 | $4K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 591 | $3K |
| 0124A | <1% | 72 | $3K | |
| 0134A | <1% | 68 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,404 | $2K |
| 90670 | <1% | 1,151 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 15 | $1K |
| 0064A | <1% | 91 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,142 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,440 | $1K |
| 0054A | <1% | 35 | $1K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 90 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,803 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,073 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 280 | $1K |
| 0112A | <1% | 25 | $887.52 | |
| 90474 | <1% | 663 | $844.11 | |
| 0111A | <1% | 26 | $776.58 | |
| 90715 | <1% | 374 | $723.76 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 176 | $656.95 |
| 99188 | <1% | 281 | $642.65 | |
| 99350 | Prolong home eval add 15m | <1% | 12 | $608.59 |
| 90685 | <1% | 48 | $545.10 | |
| 0154A | <1% | 12 | $443.76 | |
| 90680 | <1% | 633 | $434.75 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 15 | $425.44 |
| 90619 | <1% | 93 | $269.00 | |
| 0071A | <1% | 48 | $223.43 | |
| 90651 | <1% | 362 | $184.43 | |
| 90710 | <1% | 131 | $184.43 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $125.19 |
| 90734 | <1% | 104 | $54.32 | |
| 99442 | <1% | 53 | $46.32 | |
| 0074A | <1% | 29 | $43.86 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 64 | $37.54 |
| 0072A | <1% | 35 | $37.29 | |
| 0002A | <1% | 81 | $32.17 | |
| 0001A | <1% | 42 | $29.40 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | $27.79 |
| 36416 | <1% | 178 | $7.24 | |
| 90723 | 0% | 136 | $0.00 | |
| 90697 | 0% | 89 | $0.00 | |
| 91301 | 0% | 24 | $0.00 | |
| 99443 | 0% | 14 | $0.00 | |
| 90648 | 0% | 408 | $0.00 | |
| 90633 | 0% | 460 | $0.00 | |
| 91300 | 0% | 193 | $0.00 | |
| 90681 | 0% | 75 | $0.00 | |
| 90671 | 0% | 96 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 81 | $0.00 |
| 98968 | 0% | 28 | $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.
From NPPES
Who's on the registration
Authorized officialHUNTER, ROBERT (SENIOR VICE PRESIDENT)
Parent organizationMAINEHEALTH
| Provider | Location | Paid |
|---|---|---|
| Mainehealth | Rockport, ME | $31.54M |
| Mainehealth | Farmington, ME | $16.71M |
| Mainehealth | Norway, ME | $10.00M |
| Mainehealth | Norway, ME | $9.84M |
| Mainehealth | Belfast, ME | $5.33M |
| Mainehealth | Norway, ME | $5.06M |
| Mainehealth | Livermore Falls, ME | $3.15M |
| Mainehealth | Boothbay Harbor, ME | $2.90M |
| Mainehealth | Damariscotta, ME | $2.62M |
| Mainehealth | Farmington, ME | $2.36M |
| University Pathologists | Houston, TX | $1.35M |
| Mainehealth | Farmington, ME | $435K |
| P R Hematology Oncology Group INC | Bayamon, PR | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.