Maine Medical Partners
Maine Medical Partners was paid $284K by Medicaid between Jan 2018 and Dec 2023, across 17 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 25% of everything it billed.
33Billing provider infoMAINE MEDICAL PARTNERS
SCARBOROUGH, ME 04074
SCARBOROUGH, ME 04074
33aNPI1659351393assigned 01/19/2006
33bProvider typeSpecialist
28Total paid$284K
24GClaims6,911
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Specialist providers in Maine
Rank by total paid#9 of 24
Median peer was paid$88K
This provider vs. median3.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 782 | $27K | |
| 2019 | 1,052 | $43K | |
| 2020 | 588 | $24K | |
| 2021 | 1,097 | $46K | |
| 2022 | 1,382 | $62K | |
| 2023 | 2,010 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 25% | 1,290 | 1,259 | $71K |
| 99205 | Prolong outpt/office vis | 21% | 772 | 761 | $59K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17% | 1,501 | 1,411 | $49K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,450 | 1,420 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.5% | 253 | 247 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.1% | 216 | 209 | $12K |
| 64642 | 3.4% | 223 | 217 | $10K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.3% | 147 | 66 | $7K |
| 95886 | 2.1% | 251 | 230 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 99 | 58 | $4K |
| 64643 | 1.3% | 116 | 114 | $4K | |
| 64483 | 1.0% | 38 | 37 | $3K |
5 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialJAUREGUI, DONNA (DIR-PRVDR ENROLLMENT & CVO, MHMG PA)
| Provider | Location | Paid |
|---|---|---|
| Maine Medical Partners | Scarborough, ME | $947K |
| Maine Medical Partners | Scarborough, ME | $590K |
| Maine Medical Partners | Scarborough, ME | $585K |
| Maine Medical Partners | Portland, ME | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.