Clinic
Family Planning Association of Maine INC
Family Planning Association of Maine INC was paid $2.75M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoFAMILY PLANNING ASSOCIATION OF MAINE INC
AUGUSTA, ME 04330
AUGUSTA, ME 04330
33aNPI1477768216assigned 05/14/2007
33bProvider typeNon-Surgical Family Planning Clinic/Center
28Total paid$2.75M
24GClaims41,736
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
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 | 5,207 | $167K | |
| 2019 | 5,617 | $186K | |
| 2020 | 4,026 | $153K | |
| 2021 | 5,170 | $202K | |
| 2022 | 6,895 | $524K | |
| 2023 | 7,661 | $754K | |
| 2024incomplete | 7,160 | $765K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 11,421 | 10,703 | $1.06M |
| 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 | 24% | 6,906 | 6,512 | $673K |
| S4993 | Contraceptive pills for birth control | 10% | 7,677 | 7,380 | $288K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 1,435 | 1,368 | $283K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 9.1% | 3,152 | 3,071 | $251K |
| 81025 | 1.4% | 3,066 | 2,941 | $39K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 1.0% | 50 | 49 | $28K |
| 86703 | <1% | 1,014 | 968 | $27K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,188 | 1,094 | $26K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 117 | 111 | $18K |
| 87210 | <1% | 2,280 | 2,168 | $17K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 237 | 231 | $9K |
16 more codes
| A4267 | Contraceptive supply, condom, male, each | <1% | 1,191 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 181 | $7K |
| 58300 | <1% | 28 | $4K | |
| 11981 | <1% | 14 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,130 | $2K |
| 81002 | <1% | 321 | $2K | |
| 90686 | <1% | 43 | $711.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 46 | $593.23 |
| 90674 | <1% | 31 | $575.00 | |
| 86803 | <1% | 50 | $469.02 | |
| 86780 | <1% | 36 | $410.44 | |
| S0190 | Mifepristone, oral, 200 mg | <1% | 14 | $98.83 |
| 36416 | <1% | 15 | $27.30 | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 14 | $17.80 |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 0% | 66 | $0.00 |
| S0199 | Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs | 0% | 13 | $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 officialNILES, LAWRENCE (SR VP OF FINANCE)