PORTLAND COMMUNITY HEALTH CENTER
NPI: 1528719630
· SOUTH PORTLAND, ME 04106
· 207V00000X
$595K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
443 |
$59K |
| 2023 |
1,863 |
$229K |
| 2024 |
2,323 |
$307K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
2,439 |
1,715 |
$589K |
| D0190 |
|
151 |
150 |
$2K |
| 99213 |
|
712 |
624 |
$2K |
| 99214 |
|
289 |
256 |
$2K |
| T1013 |
Sign lang/oral interpreter |
18 |
18 |
$500.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$101.10 |
| 90460 |
|
247 |
240 |
$54.50 |
| 90651 |
|
27 |
27 |
$0.00 |
| D1206 |
|
25 |
25 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |
| 99188 |
|
312 |
309 |
$0.00 |
| 99212 |
|
61 |
58 |
$0.00 |
| 90461 |
|
60 |
59 |
$0.00 |
| 90713 |
|
29 |
29 |
$0.00 |
| D1120 |
|
147 |
147 |
$0.00 |
| D1110 |
|
44 |
44 |
$0.00 |
| 90837 |
|
37 |
24 |
$0.00 |