Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PENOBSCOT BAY PHYSICIANS & ASSOCIATES

NPI: 1497799720 · ROCKPORT, ME 04856 · Multi-Specialty Clinic/Center · NPI assigned 06/16/2006

$415K
Total Medicaid Paid
15,143
Total Claims
13,714
Beneficiaries
21
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialFALLER, LYN (DIRECTOR)
NPI Enumeration Date06/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,143 $415K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,929 8,123 $232K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,679 3,418 $97K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 453 436 $26K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 410 410 $23K
90834 Psychotherapy, 45 minutes with patient 300 188 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 140 140 $7K
90837 Psychotherapy, 53 minutes with patient 95 66 $5K
99232 Subsequent hospital care, per day, moderate complexity 250 131 $4K
99308 Subsequent nursing facility care, per day, straightforward 275 208 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 134 133 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 108 98 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 26 26 $1K
11721 192 190 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 43 42 $993.33
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 24 $987.95
17110 16 16 $473.99
90832 Psychotherapy, 30 minutes with patient 18 14 $406.30
99223 Prolong inpt eval add15 m 12 12 $322.35
95886 13 13 $230.94
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $107.88
96127 14 14 $47.18