NPI: 1649577768 · PORTLAND, ME 04103 · 231H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,338 | $227K |
| 2019 | 6,922 | $234K |
| 2020 | 3,120 | $173K |
| 2021 | 4,128 | $257K |
| 2022 | 4,762 | $325K |
| 2023 | 5,316 | $378K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 16,323 | 14,565 | $1.05M |
| 92587 | 1,153 | 1,081 | $218K | |
| 31575 | 1,656 | 1,543 | $139K | |
| 92579 | 1,456 | 1,398 | $66K | |
| 92557 | 1,654 | 1,515 | $53K | |
| 92585 | 200 | 185 | $33K | |
| 31231 | 175 | 161 | $17K | |
| 69210 | 706 | 690 | $9K | |
| 92567 | 4,478 | 4,172 | $6K | |
| 92552 | 293 | 262 | $5K | |
| 92550 | 52 | 50 | $566.15 | |
| Q3014 | Telehealth facility fee | 47 | 46 | $523.51 |
| 92582 | 12 | 12 | $231.42 | |
| 92555 | 276 | 254 | $97.50 | |
| 92556 | 105 | 96 | $0.00 |