Maine Medical Partners
Maine Medical Partners was paid $760K by Medicaid between Jan 2018 and Dec 2023, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
CAPE ELIZABETH, ME 04107
Next to other Social Worker providers in Maine
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,594 | $93K | |
| 2019 | 2,885 | $104K | |
| 2020 | 2,462 | $96K | |
| 2021 | 4,270 | $173K | |
| 2022 | 3,224 | $141K | |
| 2023 | 3,513 | $152K |
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 | 58% | 10,336 | 9,718 | $439K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 2,026 | 1,446 | $106K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,148 | 2,979 | $93K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.9% | 2,151 | 1,425 | $75K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.7% | 421 | 310 | $13K |
| 99223 | Prolong inpt eval add15 m | 1.5% | 122 | 121 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 118 | 106 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 70 | 51 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 185 | 100 | $2K |
| 0001A | <1% | 83 | 83 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 103 | 72 | $2K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 27 | 26 | $2K |
6 more codes
| 99205 | Prolong outpt/office vis | <1% | 18 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $845.42 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $798.23 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | $465.02 |
| 99442 | <1% | 12 | $200.64 | |
| 91300 | 0% | 81 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Maine Medical Partners | Portland, ME | $2.97M |
| Maine Medical Partners | Scarborough, ME | $2.62M |
| Maine Medical Partners | Portland, ME | $2.23M |
| Maine Medical Partners | Scarborough, ME | $1.45M |
| Maine Medical Partners | Saco, ME | $1.37M |
| Maine Medical Partners | Portland, ME | $765K |
| Maine Medical Partners | Portland, ME | $674K |
| Maine Medical Partners | Scarborough, ME | $395K |
| Maine Medical Partners | Windham, ME | $348K |
| Maine Medical Partners | Scarborough, ME | $314K |
| Maine Medical Partners | Falmouth, ME | $235K |
| Maine Medical Partners | South Portland, ME | $206K |
| Maine Medical Partners | Portland, ME | $814.90 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.