NPI: 1568555498 · BANGOR, ME 04401 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 56,683 | $3.18M |
| 2019 | 59,191 | $3.48M |
| 2020 | 48,801 | $3.02M |
| 2021 | 48,229 | $3.15M |
| 2022 | 54,046 | $3.61M |
| 2023 | 56,845 | $5.34M |
| 2024 | 55,412 | $5.53M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 138,254 | 101,061 | $26.64M |
| 99213 | 48,945 | 42,481 | $163K | |
| G0008 | Admin influenza virus vac | 13,517 | 13,192 | $132K |
| G0009 | Admin pneumococcal vaccine | 6,014 | 5,908 | $59K |
| 90834 | 11,275 | 5,948 | $51K | |
| 99214 | 19,725 | 17,795 | $40K | |
| 90472 | 13,363 | 12,953 | $25K | |
| 99393 | 10,059 | 9,903 | $23K | |
| 99392 | 10,375 | 10,217 | $19K | |
| 90837 | 4,448 | 2,137 | $16K | |
| 99215 | Prolong outpt/office vis | 1,406 | 1,177 | $15K |
| 90847 | 4,130 | 2,918 | $13K | |
| 99394 | 6,153 | 6,061 | $13K | |
| 99391 | 8,040 | 7,531 | $13K | |
| 87880 | 1,187 | 1,114 | $12K | |
| 99212 | 2,143 | 2,071 | $11K | |
| 83655 | 727 | 716 | $8K | |
| 90686 | 10,795 | 10,535 | $8K | |
| 90471 | 8,450 | 8,287 | $8K | |
| 90832 | 4,177 | 2,775 | $7K | |
| 90474 | 597 | 592 | $6K | |
| G0467 | Fqhc visit, estab pt | 28 | 28 | $3K |
| 96127 | 2,868 | 2,723 | $3K | |
| 99381 | 1,086 | 1,070 | $3K | |
| 99395 | 694 | 664 | $2K | |
| 85018 | 948 | 940 | $2K | |
| 90480 | 56 | 55 | $2K | |
| 96160 | 1,384 | 1,348 | $756.60 | |
| 90672 | 101 | 99 | $711.53 | |
| 99203 | 401 | 396 | $567.45 | |
| 90791 | 335 | 331 | $567.45 | |
| 0074A | 14 | 14 | $517.72 | |
| 97803 | 439 | 427 | $470.38 | |
| 0081A | 12 | 12 | $443.76 | |
| 99173 | 1,214 | 1,188 | $374.41 | |
| 94640 | 243 | 228 | $365.09 | |
| 90473 | 411 | 396 | $240.44 | |
| 90633 | 3,412 | 3,355 | $198.20 | |
| 90698 | 2,656 | 2,606 | $189.15 | |
| 90651 | 3,309 | 3,244 | $185.09 | |
| 92551 | 494 | 484 | $175.94 | |
| 97802 | 116 | 115 | $158.00 | |
| 81003 | 44 | 41 | $94.30 | |
| 90670 | 5,095 | 4,998 | $4.16 | |
| 94010 | 315 | 306 | $0.00 | |
| D1206 | 88 | 87 | $0.00 | |
| 94760 | 3,559 | 3,258 | $0.00 | |
| 91307 | 65 | 64 | $0.00 | |
| 90647 | 1,875 | 1,833 | $0.00 | |
| 96110 | 2,210 | 2,167 | $0.00 | |
| 90744 | 1,132 | 1,113 | $0.00 | |
| 90677 | 948 | 945 | $0.00 | |
| 90716 | 1,697 | 1,667 | $0.00 | |
| 90697 | 1,170 | 1,154 | $0.00 | |
| 90696 | 1,684 | 1,653 | $0.00 | |
| 90723 | 690 | 681 | $0.00 | |
| 90619 | 1,388 | 1,365 | $0.00 | |
| 90743 | 76 | 76 | $0.00 | |
| 90792 | 68 | 67 | $0.00 | |
| 90656 | 1,090 | 1,086 | $0.00 | |
| 91319 | 24 | 24 | $0.00 | |
| 99202 | 205 | 199 | $0.00 | |
| 99383 | 12 | 12 | $0.00 | |
| 94761 | 17 | 16 | $0.00 | |
| 90381 | 12 | 12 | $0.00 | |
| 90710 | 1,706 | 1,676 | $0.00 | |
| 90707 | 1,640 | 1,609 | $0.00 | |
| 90734 | 1,384 | 1,359 | $0.00 | |
| 90681 | 2,824 | 2,777 | $0.00 | |
| 90700 | 1,664 | 1,639 | $0.00 | |
| 99051 | 51 | 51 | $0.00 | |
| 90648 | 77 | 77 | $0.00 | |
| 90685 | 116 | 113 | $0.00 | |
| 90715 | 1,954 | 1,916 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 60 | 58 | $0.00 |
| 99177 | 126 | 126 | $0.00 | |
| 99382 | 30 | 30 | $0.00 | |
| 91308 | 98 | 90 | $0.00 | |
| 69210 | 12 | 12 | $0.00 |