NPI: 1477850592 · PORTLAND, ME 04102 · 1041C0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,286 | $677K |
| 2019 | 10,475 | $665K |
| 2020 | 7,847 | $442K |
| 2021 | 6,828 | $534K |
| 2022 | 8,226 | $624K |
| 2023 | 8,639 | $611K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 34,726 | 32,117 | $3.21M |
| 96152 | 564 | 432 | $65K | |
| G0108 | Diab manage trn per indiv | 1,577 | 1,435 | $59K |
| 97803 | 1,636 | 1,554 | $54K | |
| G0008 | Admin influenza virus vac | 1,077 | 1,004 | $33K |
| Q3014 | Telehealth facility fee | 1,852 | 1,764 | $29K |
| 90471 | 448 | 437 | $21K | |
| 96150 | 161 | 155 | $18K | |
| 97802 | 417 | 414 | $17K | |
| 96158 | 188 | 129 | $11K | |
| 96154 | 68 | 56 | $6K | |
| 94010 | 704 | 675 | $6K | |
| 96101 | 25 | 25 | $4K | |
| 90834 | 27 | 27 | $3K | |
| 90837 | 31 | 24 | $3K | |
| 96130 | 13 | 13 | $3K | |
| 90734 | 26 | 26 | $3K | |
| 83036 | 753 | 713 | $2K | |
| S9441 | Asthma education | 107 | 107 | $2K |
| 96136 | 25 | 25 | $1K | |
| 83037 | 1,351 | 1,312 | $485.50 | |
| 90686 | 1,074 | 1,003 | $449.00 | |
| 0054A | 13 | 13 | $405.00 | |
| 96127 | 1,090 | 1,054 | $244.83 | |
| 96167 | 20 | 12 | $234.30 | |
| 99401 | 33 | 32 | $196.80 | |
| 87070 | 99 | 96 | $113.50 | |
| 87077 | 69 | 52 | $90.78 | |
| 87186 | 30 | 26 | $43.97 | |
| 81002 | 736 | 681 | $2.62 | |
| 81003 | 78 | 78 | $2.30 | |
| G2212 | Prolong outpt/office vis | 58 | 56 | $0.00 |
| 90691 | 452 | 440 | $0.00 | |
| 96159 | 121 | 82 | $0.00 | |
| 90472 | 218 | 207 | $0.00 | |
| 91300 | 12 | 12 | $0.00 | |
| 94664 | 12 | 12 | $0.00 | |
| 96137 | 25 | 25 | $0.00 | |
| 91312 | 13 | 13 | $0.00 | |
| 0124A | 13 | 13 | $0.00 | |
| 36416 | 2,121 | 2,036 | $0.00 | |
| 90717 | 175 | 163 | $0.00 | |
| 96131 | 13 | 13 | $0.00 | |
| 91305 | 33 | 33 | $0.00 | |
| 91307 | 17 | 17 | $0.00 |