NPI: 1609120856 · PORTLAND, ME 04102 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32,690 | $2.01M |
| 2019 | 39,303 | $2.25M |
| 2020 | 25,759 | $1.77M |
| 2021 | 22,520 | $1.69M |
| 2022 | 27,652 | $1.86M |
| 2023 | 21,812 | $1.70M |
| 2024 | 18,364 | $1.61M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 64,681 | 44,172 | $11.69M |
| T1013 | Sign lang/oral interpreter | 7,773 | 6,823 | $294K |
| G0467 | Fqhc visit, estab pt | 3,349 | 2,776 | $192K |
| 99214 | 17,824 | 15,049 | $149K | |
| G2025 | Dis site tele svcs rhc/fqhc | 1,856 | 1,350 | $136K |
| 99213 | 17,983 | 14,925 | $104K | |
| G0470 | Fqhc visit, mh estab pt | 1,036 | 521 | $58K |
| 90834 | 5,029 | 3,084 | $50K | |
| 90832 | 4,331 | 2,669 | $35K | |
| 90837 | 4,312 | 2,402 | $32K | |
| 99215 | Prolong outpt/office vis | 2,382 | 2,035 | $20K |
| G0008 | Admin influenza virus vac | 3,404 | 3,148 | $16K |
| 90480 | 333 | 330 | $12K | |
| 99211 | 481 | 408 | $11K | |
| 91322 | 132 | 127 | $10K | |
| 99393 | 1,685 | 1,626 | $8K | |
| 99392 | 1,578 | 1,530 | $8K | |
| 99391 | 1,107 | 1,037 | $7K | |
| D1206 | 5,377 | 4,990 | $4K | |
| 99212 | 1,922 | 1,717 | $4K | |
| D0150 | 993 | 900 | $3K | |
| 0134A | 103 | 102 | $3K | |
| 99394 | 414 | 399 | $3K | |
| 99000 | 848 | 788 | $3K | |
| 0124A | 88 | 86 | $3K | |
| 0064A | 106 | 93 | $3K | |
| 0031A | 173 | 173 | $2K | |
| 0011A | 98 | 97 | $2K | |
| D0120 | 922 | 802 | $2K | |
| 0012A | 98 | 96 | $2K | |
| 0071A | 71 | 61 | $2K | |
| 0072A | 63 | 56 | $2K | |
| 36415 | 917 | 860 | $2K | |
| 90471 | 3,955 | 3,797 | $2K | |
| 0111A | 45 | 43 | $2K | |
| D1110 | 1,459 | 1,371 | $1K | |
| D0140 | 144 | 121 | $1K | |
| 99203 | 605 | 564 | $1K | |
| 0001A | 26 | 26 | $932.25 | |
| 90472 | 1,946 | 1,877 | $798.64 | |
| 90460 | 4,688 | 4,361 | $788.45 | |
| 90461 | 2,952 | 2,733 | $757.09 | |
| D1120 | 3,574 | 3,310 | $690.00 | |
| D0330 | 606 | 554 | $656.52 | |
| 90791 | 267 | 249 | $570.74 | |
| D1351 | 3,195 | 769 | $568.52 | |
| D2391 | 481 | 355 | $561.57 | |
| 90715 | 823 | 798 | $548.41 | |
| 0164A | 13 | 13 | $508.43 | |
| 0002A | 12 | 12 | $447.48 | |
| G0010 | Admin hepatitis b vaccine | 13 | 13 | $406.21 |
| D2392 | 754 | 596 | $375.31 | |
| D0274 | 684 | 607 | $375.31 | |
| D0272 | 593 | 520 | $222.32 | |
| 91306 | 100 | 88 | $199.44 | |
| 90686 | 665 | 662 | $192.64 | |
| 90707 | 590 | 561 | $186.26 | |
| D0220 | 15 | 14 | $186.26 | |
| 90744 | 899 | 875 | $100.22 | |
| 90651 | 598 | 588 | $98.46 | |
| 99204 | 43 | 42 | $77.66 | |
| 99188 | 327 | 322 | $68.52 | |
| 90713 | 1,168 | 1,105 | $63.82 | |
| 99423 | 20 | 19 | $33.27 | |
| 90633 | 1,563 | 1,504 | $33.15 | |
| 90698 | 471 | 462 | $0.00 | |
| D1352 | 25 | 17 | $0.00 | |
| 90680 | 90 | 90 | $0.00 | |
| 90656 | 244 | 244 | $0.00 | |
| 99202 | 77 | 76 | $0.00 | |
| 91307 | 164 | 144 | $0.00 | |
| 90677 | 123 | 121 | $0.00 | |
| 91301 | 132 | 128 | $0.00 | |
| 91314 | 26 | 26 | $0.00 | |
| 90619 | 17 | 17 | $0.00 | |
| 91316 | 13 | 13 | $0.00 | |
| 90716 | 199 | 193 | $0.00 | |
| 96110 | 25 | 24 | $0.00 | |
| 99422 | 31 | 30 | $0.00 | |
| 91309 | 41 | 41 | $0.00 | |
| D2393 | 19 | 15 | $0.00 | |
| D7111 | 16 | 13 | $0.00 | |
| 91303 | 57 | 57 | $0.00 | |
| 90792 | 44 | 40 | $0.00 | |
| 86580 | 17 | 15 | $0.00 | |
| 90647 | 16 | 16 | $0.00 | |
| 90723 | 17 | 17 | $0.00 | |
| 0094A | 12 | 12 | $0.00 | |
| 91313 | 100 | 99 | $0.00 | |
| 90700 | 230 | 210 | $0.00 | |
| 91321 | 185 | 184 | $0.00 | |
| 91300 | 191 | 177 | $0.00 | |
| 90714 | 222 | 208 | $0.00 | |
| 90670 | 334 | 332 | $0.00 | |
| 91311 | 122 | 121 | $0.00 | |
| 90734 | 296 | 275 | $0.00 | |
| 90710 | 117 | 105 | $0.00 | |
| 81002 | 31 | 26 | $0.00 | |
| 91312 | 86 | 85 | $0.00 | |
| 99173 | 18 | 18 | $0.00 |