NPI: 1497923916 · SPRINGVALE, ME 04083 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21,301 | $1.52M |
| 2019 | 26,374 | $2.12M |
| 2020 | 18,082 | $1.55M |
| 2021 | 36,696 | $2.91M |
| 2022 | 44,618 | $3.43M |
| 2023 | 48,279 | $4.44M |
| 2024 | 43,216 | $4.68M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 94,125 | 63,370 | $19.84M |
| G0467 | Fqhc visit, estab pt | 5,446 | 4,361 | $416K |
| 90832 | 17,045 | 8,108 | $55K | |
| 99214 | 21,228 | 18,116 | $49K | |
| G0470 | Fqhc visit, mh estab pt | 1,599 | 763 | $46K |
| G2025 | Dis site tele svcs rhc/fqhc | 677 | 482 | $40K |
| 99213 | 19,168 | 16,306 | $29K | |
| D1354 | 3,145 | 711 | $20K | |
| 90471 | 1,854 | 1,597 | $15K | |
| 90791 | 1,556 | 1,463 | $15K | |
| D0140 | 8,031 | 7,102 | $6K | |
| D0270 | 2,814 | 2,626 | $6K | |
| 99394 | 209 | 209 | $5K | |
| D0274 | 3,974 | 3,696 | $5K | |
| 0012A | 178 | 176 | $5K | |
| D7140 | 4,131 | 2,623 | $5K | |
| G0008 | Admin influenza virus vac | 484 | 470 | $5K |
| 90674 | 495 | 433 | $5K | |
| D0210 | 950 | 924 | $4K | |
| D1206 | 5,714 | 5,360 | $4K | |
| D0330 | 3,626 | 3,325 | $4K | |
| 81025 | 50 | 46 | $4K | |
| 0031A | 265 | 258 | $4K | |
| D2392 | 3,079 | 2,641 | $4K | |
| 90834 | 668 | 461 | $4K | |
| 0064A | 107 | 98 | $3K | |
| 0011A | 200 | 197 | $3K | |
| 90472 | 571 | 491 | $3K | |
| D0220 | 4,985 | 4,560 | $3K | |
| 99204 | 1,061 | 1,008 | $3K | |
| D1351 | 3,124 | 1,405 | $3K | |
| 90792 | 561 | 534 | $3K | |
| 0002A | 92 | 91 | $3K | |
| D2391 | 2,047 | 1,726 | $3K | |
| D0120 | 2,377 | 2,273 | $2K | |
| D2393 | 1,185 | 1,052 | $2K | |
| 99188 | 1,687 | 1,643 | $2K | |
| 99203 | 1,287 | 1,225 | $2K | |
| G0468 | Fqhc visit, ippe or awv | 69 | 69 | $2K |
| 0001A | 93 | 91 | $2K | |
| 96372 | 58 | 53 | $2K | |
| D1110 | 3,415 | 3,300 | $1K | |
| D0603 | 558 | 450 | $1K | |
| D0150 | 3,487 | 3,300 | $1K | |
| D0601 | 207 | 173 | $852.24 | |
| D2332 | 316 | 265 | $824.39 | |
| 81002 | 48 | 43 | $673.74 | |
| 99393 | 100 | 100 | $658.97 | |
| D1120 | 3,868 | 3,574 | $558.58 | |
| D2331 | 313 | 242 | $509.82 | |
| 99395 | 325 | 314 | $454.59 | |
| D1330 | 152 | 149 | $451.48 | |
| D2335 | 243 | 195 | $411.36 | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 102 | 102 | $408.24 |
| 0054A | 12 | 12 | $360.00 | |
| 99215 | Prolong outpt/office vis | 233 | 221 | $319.16 |
| G0439 | Ppps, subseq visit | 49 | 44 | $315.28 |
| 90460 | 21 | 20 | $308.80 | |
| D4355 | 57 | 57 | $297.43 | |
| D4341 | 431 | 243 | $297.43 | |
| D7210 | 40 | 29 | $297.43 | |
| 90686 | 30 | 28 | $284.08 | |
| D2394 | 32 | 25 | $284.08 | |
| 99396 | 176 | 165 | $269.94 | |
| D4342 | 58 | 40 | $251.42 | |
| D0272 | 754 | 674 | $248.51 | |
| D2330 | 272 | 208 | $68.61 | |
| 90661 | 201 | 194 | $43.39 | |
| D9993 | 146 | 143 | $28.75 | |
| 91322 | 12 | 12 | $19.81 | |
| D0602 | 151 | 144 | $19.27 | |
| 99408 | 14 | 14 | $9.30 | |
| 91303 | 109 | 109 | $0.00 | |
| 90732 | 15 | 12 | $0.00 | |
| 90651 | 270 | 208 | $0.00 | |
| D0230 | 384 | 200 | $0.00 | |
| 90636 | 243 | 202 | $0.00 | |
| 92551 | 33 | 33 | $0.00 | |
| 99205 | Prolong outpt/office vis | 43 | 43 | $0.00 |
| D1310 | 34 | 34 | $0.00 | |
| 91301 | 428 | 421 | $0.00 | |
| 99202 | 122 | 116 | $0.00 | |
| 91306 | 105 | 97 | $0.00 | |
| 90656 | 35 | 34 | $0.00 | |
| 90619 | 30 | 30 | $0.00 | |
| 91305 | 27 | 27 | $0.00 | |
| D9944 | 39 | 38 | $0.00 | |
| 91300 | 160 | 144 | $0.00 | |
| 99173 | 64 | 62 | $0.00 | |
| 90715 | 184 | 167 | $0.00 | |
| D4910 | 96 | 91 | $0.00 | |
| 90750 | 30 | 28 | $0.00 | |
| D0190 | 195 | 190 | $0.00 | |
| 99212 | 70 | 67 | $0.00 | |
| D2950 | 12 | 12 | $0.00 |