Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAINEHEALTH

NPI: 1619510047 · FARMINGTON, ME 04938 · Rural Health Clinic/Center · NPI assigned 10/17/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HUNTER, ROBERT controls 13+ related entities in our dataset. Read more

$2.36M
Total Medicaid Paid
22,418
Total Claims
19,698
Beneficiaries
24
Codes Billed
2020-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUNTER, ROBERT (SENIOR VICE PRESIDENT)
Parent OrganizationMAINEHEALTH
NPI Enumeration Date10/17/2019

Related Entities

Other providers sharing the same authorized official: HUNTER, ROBERT

ProviderCityStateTotal Paid
MAINEHEALTH ROCKPORT ME $31.54M
MAINEHEALTH FARMINGTON ME $16.71M
MAINEHEALTH NORWAY ME $10.00M
MAINEHEALTH NORWAY ME $9.84M
MAINEHEALTH DAMARISCOTTA ME $9.60M
MAINEHEALTH BELFAST ME $5.33M
MAINEHEALTH NORWAY ME $5.06M
MAINEHEALTH LIVERMORE FALLS ME $3.15M
MAINEHEALTH BOOTHBAY HARBOR ME $2.90M
MAINEHEALTH DAMARISCOTTA ME $2.62M
UNIVERSITY PATHOLOGISTS HOUSTON TX $1.35M
MAINEHEALTH FARMINGTON ME $435K
P R HEMATOLOGY ONCOLOGY GROUP INC BAYAMON PR $69K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,528 $295K
2021 9,873 $1.11M
2022 2,657 $269K
2023 3,451 $316K
2024 3,909 $368K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,712 8,179 $1.85M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,307 3,038 $320K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,956 3,595 $96K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,801 2,537 $59K
99215 Prolong outpt/office vis 600 543 $12K
99310 Prolong nursin fac eval 15m 779 608 $10K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 52 42 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 190 167 $2K
99306 Prolong nursin fac eval 15m 109 102 $2K
G0008 Administration of influenza virus vaccine 84 84 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 99 95 $1K
99308 Subsequent nursing facility care, per day, straightforward 200 193 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 218 215 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 13 $861.50
0124A 12 12 $443.76
90686 137 137 $352.59
90656 12 12 $250.67
90837 Psychotherapy, 53 minutes with patient 13 13 $63.53
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24 24 $5.05
99442 17 13 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 21 19 $0.00
36416 14 14 $0.00
0064A 13 13 $0.00
36415 Collection of venous blood by venipuncture 33 30 $0.00