NPI: 1619510047 · FARMINGTON, ME 04938 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,528 | $295K |
| 2021 | 9,873 | $1.11M |
| 2022 | 2,657 | $269K |
| 2023 | 3,451 | $316K |
| 2024 | 3,909 | $368K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 9,712 | 8,179 | $1.85M |
| C9803 | Hopd covid-19 spec collect | 3,307 | 3,038 | $320K |
| 99214 | 3,956 | 3,595 | $96K | |
| 99213 | 2,801 | 2,537 | $59K | |
| 99215 | Prolong outpt/office vis | 600 | 543 | $12K |
| 99310 | Prolong nursin fac eval 15m | 779 | 608 | $10K |
| G2025 | Dis site tele svcs rhc/fqhc | 52 | 42 | $5K |
| 99309 | 190 | 167 | $2K | |
| 99306 | Prolong nursin fac eval 15m | 109 | 102 | $2K |
| G0008 | Admin influenza virus vac | 84 | 84 | $2K |
| 99212 | 99 | 95 | $1K | |
| 99308 | 200 | 193 | $1K | |
| G2211 | Complex e/m visit add on | 218 | 215 | $1K |
| 99202 | 15 | 13 | $861.50 | |
| 0124A | 12 | 12 | $443.76 | |
| 90686 | 137 | 137 | $352.59 | |
| 90656 | 12 | 12 | $250.67 | |
| 90837 | 13 | 13 | $63.53 | |
| 90471 | 24 | 24 | $5.05 | |
| 99442 | 17 | 13 | $0.00 | |
| 99211 | 21 | 19 | $0.00 | |
| 36416 | 14 | 14 | $0.00 | |
| 0064A | 13 | 13 | $0.00 | |
| 36415 | 33 | 30 | $0.00 |