NPI: 1598798787 · WESTBROOK, ME 04092 · 283Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,143 | $4K |
| 2019 | 2,177 | $0.00 |
| 2020 | 1,669 | $0.00 |
| 2021 | 5,319 | $181.06 |
| 2022 | 7,721 | $69K |
| 2023 | 13,422 | $220K |
| 2024 | 13,909 | $299K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 4,474 | 3,855 | $241K |
| 90834 | 2,738 | 1,563 | $74K | |
| 90837 | 1,295 | 746 | $72K | |
| 90847 | 850 | 589 | $55K | |
| Q3014 | Telehealth facility fee | 4,908 | 3,361 | $32K |
| 90832 | 2,256 | 1,318 | $31K | |
| 90792 | 2,804 | 2,090 | $28K | |
| 90853 | 4,004 | 985 | $21K | |
| 90791 | 1,567 | 892 | $10K | |
| 90846 | 108 | 78 | $6K | |
| G0410 | Grp psych php/iop 45-50 | 2,174 | 323 | $6K |
| 97530 | 413 | 184 | $5K | |
| 92507 | 116 | 46 | $4K | |
| 99231 | 534 | 313 | $2K | |
| G0177 | Opps/php/iop; train & educ | 1,793 | 276 | $2K |
| 99232 | 130 | 64 | $1K | |
| G0176 | Opps/php/iop; activity thrpy | 1,319 | 240 | $796.74 |
| 99233 | Prolong inpt eval add15 m | 71 | 71 | $732.90 |
| 80061 | 884 | 840 | $631.36 | |
| 97535 | 84 | 43 | $409.70 | |
| 85025 | 562 | 513 | $273.71 | |
| 80307 | 186 | 130 | $249.33 | |
| 83036 | 864 | 820 | $235.24 | |
| 84443 | 764 | 718 | $201.60 | |
| 36415 | 1,155 | 949 | $136.71 | |
| 80053 | 482 | 450 | $126.72 | |
| 99214 | 1,007 | 927 | $22.67 | |
| 90785 | 23 | 14 | $10.60 | |
| G0378 | Hospital observation per hr | 5,253 | 1,399 | $0.00 |
| 99213 | 1,609 | 935 | $0.00 | |
| 99224 | 190 | 127 | $0.00 | |
| 86580 | 28 | 26 | $0.00 | |
| 99220 | 69 | 68 | $0.00 | |
| G0480 | Drug test def 1-7 classes | 16 | 12 | $0.00 |
| 99212 | 922 | 634 | $0.00 | |
| 99225 | 526 | 309 | $0.00 | |
| 99226 | 136 | 134 | $0.00 | |
| 90833 | 46 | 30 | $0.00 |