Full Circle Health Care LLC

Full Circle Health Care LLC was paid $102K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoFULL CIRCLE HEALTH CARE LLC
PRESQUE ISLE, ME 04769

33aNPI1578521084assigned 05/03/2006

33bProvider typeFamily Medicine Physician

28Total paid$102K

24GClaims4,814

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Family Medicine Physician providers in Maine

Rank by total paid#39 of 84

Median peer was paid$67K

This provider vs. median1.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,368	$25K
2019	1,448	$24K
2020	604	$13K
2021	201	$8K
2022	403	$11K
2023	492	$12K
2024incomplete	298	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	67%	2,410	1,930	$69K
99487	Ccm add 20min	20%	1,090	1,067	$20K
99490	Ccm add 20min	8.7%	1,020	1,003	$9K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.4%	43	41	$2K
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	1.5%	118	115	$1K
99489	Ccm add 20min	<1%	44	40	$294.74
36415	Collection of venous blood by venipuncture	<1%	89	87	$50.40

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGROVER, E. (CEO)