NPI: 1619281698 · CAPE ELIZABETH, ME 04107 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,520 | $231K |
| 2019 | 7,152 | $236K |
| 2020 | 5,955 | $214K |
| 2021 | 18,402 | $450K |
| 2022 | 8,158 | $342K |
| 2023 | 6,389 | $348K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 24,579 | 22,024 | $1.44M |
| 0002A | 3,376 | 3,375 | $69K | |
| 0001A | 3,468 | 3,466 | $65K | |
| 99396 | 940 | 875 | $52K | |
| G0008 | Admin influenza virus vac | 2,660 | 2,633 | $50K |
| 90832 | 368 | 279 | $32K | |
| 90686 | 2,096 | 2,073 | $27K | |
| 90677 | 148 | 147 | $27K | |
| 99395 | 288 | 264 | $16K | |
| 90471 | 600 | 572 | $8K | |
| G0009 | Admin pneumococcal vaccine | 364 | 361 | $6K |
| 0124A | 366 | 357 | $5K | |
| 96372 | 173 | 156 | $4K | |
| 90662 | 448 | 445 | $3K | |
| Q3014 | Telehealth facility fee | 227 | 180 | $3K |
| 90791 | 26 | 26 | $3K | |
| 90732 | 72 | 69 | $2K | |
| 0054A | 163 | 163 | $2K | |
| 80305 | 1,308 | 1,197 | $2K | |
| 90853 | 27 | 19 | $1K | |
| 93005 | 299 | 295 | $1K | |
| 0031A | 58 | 57 | $1K | |
| 83036 | 868 | 857 | $697.87 | |
| 80061 | 82 | 78 | $578.47 | |
| 80053 | 194 | 188 | $287.14 | |
| 91320 | 83 | 82 | $262.20 | |
| 82043 | 63 | 63 | $220.88 | |
| 84443 | 79 | 77 | $204.82 | |
| 83037 | 1,645 | 1,623 | $193.07 | |
| 85025 | 165 | 158 | $155.40 | |
| 80048 | 70 | 64 | $93.14 | |
| 90480 | 83 | 82 | $70.66 | |
| 0004A | 222 | 220 | $67.80 | |
| 36415 | 212 | 200 | $62.92 | |
| 87086 | 12 | 12 | $16.50 | |
| 81002 | 77 | 74 | $2.62 | |
| 91300 | 3,769 | 3,428 | $0.00 | |
| 91312 | 167 | 159 | $0.00 | |
| 90715 | 103 | 100 | $0.00 | |
| 36416 | 2,502 | 2,466 | $0.00 | |
| 91305 | 79 | 79 | $0.00 | |
| 91303 | 35 | 35 | $0.00 | |
| J3420 | Vitamin b12 injection | 12 | 12 | $0.00 |