Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ME › Lewiston › NPI 1689653487
Hospital

Central Maine Medical Center

Central Maine Medical Center was paid $76.13M by Medicaid between Jan 2018 and Dec 2024, across 692 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 21% of everything it billed.

33Billing provider infoCENTRAL MAINE MEDICAL CENTER
LEWISTON, ME 04240
33aNPI1689653487assigned 01/11/2006
28Total paid$76.13M
24GClaims2,486,320
24DCodes billed692
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Maine

Rank by total paid#3 of 33
Median peer was paid$4.34M
This provider vs. median18×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018330,649$8.74M
2019365,478$10.46M
2020317,159$9.63M
2021371,451$11.48M
2022381,752$11.39M
2023382,617$11.87M
2024incomplete337,214$12.55M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21% 294,170 229,314 $16.26M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 63,600 58,700 $8.62M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.5% 24,894 22,067 $5.73M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.0% 46,422 43,106 $4.58M
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 5.3% 113,344 107,400 $4.02M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.5% 74,562 70,525 $1.87M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.2% 18,170 15,592 $1.70M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.0% 6,735 6,430 $1.53M
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 1.8% 7,433 6,467 $1.37M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 8,462 7,852 $1.03M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 15,733 14,832 $983K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 10,277 9,973 $918K
680 more codes
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 8,788 $733K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,362 $667K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,869 $666K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 18,881 $592K
71046 Radiologic examination, chest; 2 views <1% 17,755 $577K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 29,219 $561K
70450 Computed tomography, head or brain; without contrast material <1% 7,186 $550K
90834 Psychotherapy session, about 45 minutes <1% 8,043 $545K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 4,241 $523K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 9,097 $501K
96375 Therapeutic injection; each additional sequential IV push <1% 15,218 $452K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,060 $452K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 965 $448K
A0425 Ground mileage, per statute mile <1% 14,811 $442K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 8,166 $425K
59025 Fetal non-stress test <1% 3,406 $424K
99232 Hospital visit by a doctor, follow-up day <1% 16,858 $404K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 7,214 $403K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 6,308 $343K
76819 Fetal biophysical profile; without non-stress testing <1% 6,163 $340K
A0429 Emergency ambulance ride, basic life support <1% 2,066 $322K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 5,925 $317K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 4,542 $311K
90832 Psychotherapy session, about 30 minutes <1% 4,634 $305K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 1,707 $295K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 4,999 $292K
96361 Intravenous infusion, hydration; each additional hour <1% 10,082 $276K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,987 $275K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,298 $275K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 4,856 $273K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 9,530 $271K
77386 <1% 1,120 $250K
Q3014 Telehealth originating site facility fee <1% 16,567 $241K
99204 Doctor's office visit, new patient (more involved) <1% 4,396 $240K
77067 Screening mammography, bilateral, including computer-aided detection <1% 4,810 $240K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 17,550 $236K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 3,198 $231K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,210 $224K
93975 <1% 1,467 $219K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 656 $217K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,518 $217K
52000 <1% 1,276 $205K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,655 $201K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,070 $200K
97161 <1% 6,125 $198K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 5,995 $198K
99215 Doctor's office visit, returning patient (complex) <1% 3,916 $191K
77412 <1% 2,203 $182K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,842 $177K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 4,769 $171K
94060 <1% 2,451 $170K
84443 Thyroid stimulating hormone (TSH) <1% 27,361 $168K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,116 $162K
80061 Lipid panel <1% 23,903 $161K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 39,358 $157K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 78 $156K
76830 Ultrasound, transvaginal <1% 2,314 $156K
20610 <1% 3,892 $153K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,300 $153K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 5,224 $151K
90791 Psychiatric diagnostic evaluation <1% 1,793 $147K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 180 $146K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 9,479 $146K
80053 Comprehensive metabolic panel <1% 80,571 $145K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 5,681 $138K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 486 $135K
77336 <1% 2,806 $134K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 9,904 $133K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 9,518 $129K
76801 <1% 1,897 $129K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 9,517 $128K
90461 <1% 5,561 $127K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 703 $124K
72141 <1% 993 $123K
99203 Doctor's office visit, new patient (routine) <1% 3,393 $122K
43235 <1% 365 $118K
71045 Radiologic examination, chest; single view <1% 3,964 $105K
95811 <1% 407 $104K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 5,605 $99K
93971 <1% 2,110 $99K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 4,189 $96K
97803 <1% 3,540 $90K
99223 Prolong inpt eval add15 m <1% 1,533 $89K
77063 Screening digital breast tomosynthesis, bilateral <1% 4,025 $89K
99336 <1% 2,639 $87K
90686 <1% 12,209 $83K
71250 <1% 2,186 $82K
96367 <1% 2,390 $80K
83036 Hemoglobin; glycosylated (A1C) <1% 28,733 $79K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,048 $79K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 552 $79K
31575 <1% 1,236 $79K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 73,285 $78K
72100 <1% 3,219 $76K
70496 <1% 822 $76K
76642 <1% 1,860 $74K
80055 <1% 2,148 $74K
36415 Collection of venous blood by venipuncture <1% 85,528 $72K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,385 $69K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,373 $67K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision <1% 289 $63K
92557 <1% 1,396 $61K
92587 <1% 567 $60K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,411 $55K
93017 <1% 1,380 $54K
31237 <1% 56 $52K
00731 <1% 1,663 $52K
98928 <1% 5,584 $51K
99239 Hospital discharge day management, more than 30 minutes <1% 1,270 $51K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,662 $50K
77334 <1% 195 $50K
77427 <1% 782 $50K
82728 <1% 9,007 $48K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 3,389 $47K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 5,755 $46K
85027 <1% 26,831 $46K
93880 <1% 707 $45K
81511 <1% 496 $45K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 35,777 $45K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 1,836 $44K
88142 <1% 5,273 $44K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,930 $42K
A0434 Specialty care transport (sct) <1% 104 $42K
77066 Tomosynthesis, mammo <1% 581 $41K
43249 <1% 92 $40K
77300 <1% 194 $39K
29581 <1% 596 $38K
90677 <1% 1,052 $38K
70486 <1% 902 $38K
97165 <1% 1,934 $38K
82607 <1% 7,400 $38K
86480 <1% 1,229 $38K
71271 <1% 694 $36K
74018 <1% 1,507 $36K
99349 <1% 1,006 $36K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 3,646 $36K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 12,800 $36K
86803 <1% 5,662 $35K
97802 <1% 721 $35K
10060 <1% 320 $34K
76536 <1% 612 $34K
64450 <1% 76 $33K
72050 <1% 863 $33K
87510 <1% 7,077 $33K
0001A <1% 2,041 $33K
87660 <1% 7,076 $33K
93970 <1% 353 $33K
87088 <1% 16,707 $33K
87480 <1% 7,079 $33K
96127 <1% 1,912 $33K
0002A <1% 1,911 $33K
73630 <1% 4,485 $33K
86900 <1% 3,640 $31K
99205 Prolong outpt/office vis <1% 368 $31K
99406 <1% 2,305 $30K
72125 Computed tomography, cervical spine; without contrast material <1% 2,644 $30K
36561 <1% 38 $29K
83655 <1% 2,995 $29K
36569 <1% 117 $29K
96415 <1% 793 $29K
74183 <1% 174 $29K
93922 <1% 1,554 $28K
73030 <1% 3,481 $28K
73502 <1% 2,736 $26K
82746 <1% 4,732 $25K
95806 <1% 448 $24K
31231 <1% 296 $23K
93923 <1% 644 $23K
97162 <1% 842 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,885 $22K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 89 $22K
83970 <1% 1,417 $22K
73562 <1% 3,477 $21K
90792 Psychiatric diagnostic evaluation with medical services <1% 313 $21K
J0897 Injection, denosumab, 1 mg <1% 41 $21K
86703 <1% 3,133 $21K
95886 <1% 2,102 $21K
84439 <1% 6,290 $21K
73610 <1% 3,140 $20K
84702 <1% 3,383 $20K
69210 <1% 2,070 $20K
94010 <1% 2,524 $20K
99443 <1% 838 $20K
73130 <1% 2,777 $20K
77065 Tomosynthesis, mammo <1% 412 $20K
83550 <1% 5,891 $19K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 16,172 $19K
58301 <1% 123 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,316 $18K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 26 $18K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening <1% 2,408 $18K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 794 $17K
83540 <1% 6,772 $17K
0004A <1% 832 $17K
77080 <1% 585 $17K
80048 Basic metabolic panel (calcium, ionized) <1% 10,796 $17K
77014 <1% 1,092 $17K
90651 <1% 1,466 $17K
70491 <1% 172 $16K
J1453 Injection, fosaprepitant, 1 mg <1% 269 $16K
87522 Neg quan hep c or qual rna <1% 745 $16K
72110 <1% 897 $16K
90847 Family psychotherapy with the patient present, 50 minutes <1% 189 $15K
97535 Self-care/home management training, each 15 minutes <1% 1,651 $15K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 32 $15K
73560 <1% 1,177 $15K
73110 <1% 2,278 $15K
73221 <1% 125 $15K
90732 <1% 273 $14K
58300 <1% 363 $14K
90670 <1% 4,454 $14K
87340 <1% 3,230 $14K
99222 Initial hospital care, per day, moderate complexity <1% 289 $14K
83735 <1% 14,038 $14K
99188 <1% 1,272 $14K
92567 <1% 3,236 $13K
95816 <1% 225 $13K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 51 $13K
83516 <1% 1,900 $13K
64615 <1% 108 $13K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 41 $13K
49083 <1% 29 $12K
86140 <1% 8,581 $12K
82565 <1% 13,723 $12K
17110 <1% 268 $12K
72070 <1% 400 $12K
86003 <1% 294 $12K
82105 <1% 1,335 $11K
93296 <1% 1,429 $11K
84481 <1% 1,798 $11K
82947 <1% 6,544 $11K
86704 <1% 2,322 $11K
76775 <1% 373 $11K
99442 <1% 633 $11K
85610 <1% 20,363 $10K
87081 <1% 4,962 $10K
80069 <1% 4,722 $10K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed <1% 157 $10K
86038 <1% 1,872 $10K
74221 <1% 131 $10K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) <1% 727 $10K
90837 Psychotherapy session, about an hour <1% 89 $9K
96158 <1% 211 $9K
90473 <1% 205 $9K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 407 $9K
82950 <1% 2,233 $9K
86592 <1% 2,916 $9K
36591 <1% 768 $9K
87186 <1% 5,856 $9K
96417 <1% 277 $9K
J2469 Injection, palonosetron hcl, 25 mcg <1% 634 $9K
90678 <1% 33 $9K
86706 <1% 1,650 $9K
80299 <1% 2,474 $9K
84153 <1% 1,183 $9K
80051 <1% 9,890 $9K
84425 <1% 687 $9K
87070 <1% 4,246 $9K
G0008 Administration of influenza virus vaccine <1% 4,156 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,146 $8K
98927 <1% 1,804 $8K
84403 <1% 549 $8K
0011A <1% 535 $8K
84460 <1% 4,716 $8K
81001 <1% 21,111 $8K
90853 Group psychotherapy (other than of a multiple-family group) <1% 245 $8K
99385 <1% 110 $8K
11981 <1% 106 $8K
85651 <1% 7,185 $8K
81025 <1% 13,297 $8K
83880 <1% 4,960 $7K
0071A <1% 196 $7K
84450 <1% 4,786 $7K
64483 <1% 73 $7K
90656 <1% 905 $7K
84520 <1% 11,781 $7K
86618 <1% 1,495 $7K
95913 <1% 65 $7K
88342 <1% 2,092 $7K
99348 <1% 216 $6K
80076 <1% 1,593 $6K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 543 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,946 $6K
87581 <1% 5,757 $6K
90662 <1% 1,808 $6K
91200 <1% 109 $6K
86850 <1% 3,641 $6K
20551 <1% 132 $5K
70498 <1% 841 $5K
82043 <1% 3,806 $5K
86708 <1% 920 $5K
29075 <1% 84 $5K
84100 <1% 3,071 $5K
0072A <1% 131 $5K
93229 <1% 606 $5K
95251 <1% 492 $5K
87147 <1% 3,533 $5K
73080 <1% 742 $4K
85018 <1% 4,148 $4K
87641 <1% 287 $4K
82247 <1% 2,217 $4K
76770 <1% 54 $4K
83021 <1% 246 $4K
82784 <1% 1,378 $4K
95819 <1% 25 $4K
88307 <1% 856 $4K
84146 <1% 346 $4K
93280 <1% 535 $4K
96150 <1% 37 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 184 $4K
87536 <1% 179 $4K
74178 <1% 53 $4K
93798 <1% 80 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 230 $4K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 483 $4K
82248 <1% 2,920 $4K
86317 <1% 212 $4K
82570 <1% 1,672 $3K
81003 <1% 11,008 $3K
84270 <1% 250 $3K
90734 <1% 1,787 $3K
77062 <1% 62 $3K
0031A <1% 176 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,679 $3K
83690 <1% 13,607 $3K
87640 <1% 299 $3K
87077 <1% 4,184 $3K
93926 <1% 119 $3K
97116 <1% 570 $3K
83001 <1% 337 $3K
96156 <1% 64 $3K
73564 <1% 671 $3K
85730 <1% 3,357 $3K
99308 Subsequent nursing facility care, per day, straightforward <1% 161 $3K
84446 <1% 353 $3K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 149 $3K
84590 <1% 399 $3K
72040 <1% 216 $3K
93225 <1% 68 $3K
84597 <1% 310 $3K
87205 <1% 3,573 $3K
83993 <1% 192 $3K
99335 <1% 87 $3K
73140 <1% 330 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 212 $3K
86431 <1% 1,175 $2K
73590 <1% 507 $2K
0124A <1% 253 $2K
92582 <1% 30 $2K
82670 <1% 134 $2K
84075 <1% 1,579 $2K
99383 <1% 36 $2K
90716 <1% 1,191 $2K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 172 $2K
86160 <1% 463 $2K
93976 <1% 39 $2K
92579 <1% 112 $2K
11720 <1% 346 $2K
82274 <1% 331 $2K
43248 <1% 12 $2K
86376 <1% 319 $2K
94729 <1% 2,251 $2K
93295 <1% 151 $2K
72131 <1% 89 $2K
84156 <1% 1,469 $2K
94726 <1% 499 $2K
74174 <1% 16 $2K
87209 <1% 144 $2K
0064A <1% 158 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 448 $2K
84480 <1% 290 $2K
G0127 Trimming of dystrophic nails, any number <1% 652 $2K
98926 <1% 518 $2K
84165 <1% 609 $2K
11056 <1% 88 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 16,523 $2K
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests <1% 2,285 $2K
51705 <1% 29 $2K
J7120 Ringers lactate infusion, up to 1000 cc <1% 9,516 $2K
87625 <1% 109 $2K
82040 <1% 1,909 $1K
90620 <1% 88 $1K
99397 <1% 168 $1K
93308 <1% 148 $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) <1% 962 $1K
99177 <1% 224 $1K
77280 <1% 28 $1K
90649 <1% 808 $1K
82550 <1% 1,278 $1K
51798 <1% 2,605 $1K
90480 <1% 62 $1K
80164 <1% 394 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 11,119 $1K
84703 <1% 1,553 $1K
87046 <1% 119 $1K
99496 <1% 39 $1K
64405 <1% 12 $1K
99292 <1% 19 $1K
93271 <1% 13 $1K
97035 <1% 286 $1K
88720 <1% 282 $1K
83520 <1% 180 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 18,431 $1K
74230 <1% 28 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 12,269 $1K
72170 <1% 134 $1K
92552 <1% 12 $1K
83605 <1% 6,613 $1K
81002 <1% 3,455 $1K
J0690 Injection, cefazolin sodium, 500 mg <1% 3,975 $1K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) <1% 12 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 96 $1K
G0378 Hospital observation service, per hour <1% 6,274 $1K
96523 <1% 54 $1K
93351 <1% 25 $1K
88304 <1% 1,357 $999.44
87177 <1% 144 $984.02
72146 <1% 12 $966.59
73090 <1% 221 $958.84
84630 <1% 146 $952.85
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 11,399 $950.50
J3490 Unclassified drugs <1% 2,293 $929.92
76882 <1% 39 $927.25
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 6,808 $912.80
84160 <1% 607 $907.01
90673 <1% 94 $874.53
99441 <1% 97 $868.38
86787 <1% 79 $867.21
93270 <1% 83 $862.90
86255 <1% 118 $862.27
85045 <1% 741 $856.37
99310 Prolong nursin fac eval 15m <1% 16 $854.27
93016 <1% 79 $848.20
96380 <1% 55 $847.00
85380 <1% 3,142 $844.24
82525 <1% 114 $807.79
83615 <1% 922 $799.13
85014 <1% 2,017 $794.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 148 $792.09
87040 <1% 3,983 $771.61
96376 <1% 4,748 $768.98
86352 <1% 2,119 $761.89
G0009 Administration of pneumococcal vaccine <1% 314 $761.48
83883 <1% 172 $746.23
99347 <1% 58 $726.87
99221 <1% 27 $720.30
84550 <1% 530 $712.67
99337 <1% 14 $712.08
76870 <1% 69 $703.14
99350 Prolong home eval add 15m <1% 14 $689.32
97166 <1% 26 $687.84
84132 <1% 599 $685.77
82310 <1% 639 $669.92
94727 <1% 925 $667.99
87427 <1% 105 $661.20
17250 <1% 36 $657.80
87493 <1% 58 $644.00
90619 <1% 451 $633.88
87045 <1% 119 $591.97
82805 <1% 2,011 $583.34
99152 <1% 2,674 $567.51
93018 <1% 79 $563.64
90681 <1% 2,355 $560.90
73700 <1% 14 $550.57
84484 <1% 14,252 $548.98
82977 <1% 168 $544.35
91320 <1% 31 $530.04
86923 <1% 56 $513.70
93246 <1% 28 $498.01
93283 <1% 26 $496.37
51702 <1% 26 $482.14
90682 <1% 15 $473.65
82785 <1% 71 $455.68
D1206 Topical application of fluoride varnish <1% 46 $453.75
86665 <1% 27 $438.30
73552 <1% 97 $433.11
92611 <1% 25 $427.98
J1170 Injection, hydromorphone, up to 4 mg <1% 6,622 $424.61
82533 <1% 68 $422.64
83002 <1% 47 $417.51
93289 <1% 40 $401.24
99173 <1% 187 $400.18
88300 <1% 668 $374.26
85049 <1% 374 $367.76
86200 <1% 92 $356.79
86361 <1% 107 $353.33
11721 <1% 24 $351.83
74019 <1% 32 $351.04
99495 <1% 13 $331.01
G0400 Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels <1% 14 $330.86
93288 <1% 14 $329.11
72128 <1% 12 $324.46
99305 <1% 12 $277.56
00811 <1% 12 $268.44
92610 <1% 24 $262.22
97605 <1% 22 $254.09
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 89 $232.72
80177 <1% 56 $211.04
84134 <1% 32 $210.50
92551 <1% 25 $207.50
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 14 $205.31
93325 <1% 207 $203.71
C1769 Guide wire <1% 3,139 $190.88
82951 <1% 18 $179.18
86334 <1% 28 $177.74
86705 <1% 25 $176.55
82150 <1% 113 $174.67
86225 <1% 27 $174.61
87338 <1% 24 $173.95
90723 <1% 2,105 $168.13
73060 <1% 32 $165.62
82172 <1% 31 $165.18
82272 <1% 421 $157.18
93294 <1% 33 $155.78
93352 <1% 12 $151.62
86901 <1% 3,642 $150.08
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 2,954 $146.09
93321 <1% 73 $143.20
73100 <1% 84 $141.91
36416 <1% 15,681 $141.14
90744 <1% 200 $138.44
99153 Mod sedat endo service >5yrs <1% 1,362 $135.89
81000 <1% 467 $131.64
J7030 Infusion, normal saline solution , 1000 cc <1% 13,028 $124.62
12001 <1% 481 $119.64
86039 <1% 28 $117.03
86762 <1% 12 $116.18
84681 <1% 15 $115.90
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 3,287 $112.86
82962 <1% 2,767 $109.75
86664 <1% 12 $102.27
82010 <1% 876 $101.02
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 1,195 $100.72
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 2,057 $100.30
96402 <1% 16 $99.33
74022 <1% 14 $92.58
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 348 $92.38
86765 <1% 15 $91.69
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 355 $90.89
86709 <1% 12 $90.08
71101 <1% 13 $89.59
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 30 $86.44
93226 <1% 68 $85.94
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,150 $85.03
36600 <1% 27 $84.63
84295 <1% 50 $80.44
0003A <1% 13 $80.02
76937 <1% 2,845 $72.69
84155 <1% 127 $68.10
90715 <1% 5,975 $67.94
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 930 $66.44
J1644 Injection, heparin sodium, per 1000 units <1% 4,735 $65.19
86308 <1% 82 $63.12
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 42 $61.86
87634 <1% 72 $60.66
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 5,494 $60.15
87207 <1% 63 $59.90
87807 <1% 154 $49.75
12011 <1% 54 $47.84
82140 <1% 37 $43.71
J7999 Compounded drug, not otherwise classified <1% 980 $43.56
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,223 $41.56
88108 <1% 24 $41.09
82952 <1% 18 $40.66
J1030 Injection, methylprednisolone acetate, 40 mg <1% 1,997 $40.18
82374 <1% 27 $40.14
0012A <1% 95 $40.01
82435 <1% 28 $37.77
86800 <1% 15 $28.50
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,816 $22.06
88302 <1% 53 $21.24
98929 <1% 12 $20.22
83721 <1% 12 $19.34
J2060 Injection, lorazepam, 2 mg <1% 3,000 $13.33
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 406 $11.67
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 975 $10.06
J1790 Injection, droperidol, up to 5 mg <1% 284 $4.50
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 42 $4.44
90672 <1% 13 $0.13
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 29 $0.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 693 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 1,617 $0.00
77417 0% 76 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 0% 12 $0.00
90696 0% 912 $0.00
90647 0% 2,473 $0.00
96368 0% 103 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 643 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 283 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 212 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 1,019 $0.00
90698 0% 115 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 604 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 570 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 331 $0.00
36410 0% 723 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 208 $0.00
91306 0% 65 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 217 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 395 $0.00
91303 0% 98 $0.00
88341 0% 788 $0.00
91307 0% 332 $0.00
94760 0% 959 $0.00
90697 0% 1,108 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 0% 15 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 168 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 163 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 258 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 298 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 56 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 29 $0.00
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 389 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 614 $0.00
77001 0% 157 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 44 $0.00
A4648 Tissue marker, implantable, any type, each 0% 45 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 59 $0.00
J8597 Antiemetic drug, oral, not otherwise specified 0% 652 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 0% 14 $0.00
93320 0% 14 $0.00
G8992 Other physical or occupational therapy primary functional limitation, discharge status, at discharge from therapy or to end reporting 0% 15 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 48 $0.00
91301 0% 682 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 13 $0.00
J1250 Injection, dobutamine hydrochloride, per 250 mg 0% 29 $0.00
J9045 Injection, carboplatin, 50 mg 0% 25 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 70 $0.00
L3924 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf 0% 14 $0.00
94761 0% 103 $0.00
90381 0% 45 $0.00
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 0% 14 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 0% 112 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 580 $0.00
90707 0% 1,158 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 2,096 $0.00
90633 0% 2,806 $0.00
91300 0% 4,793 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 0% 654 $0.00
90648 0% 88 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 5,013 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 913 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 1,213 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 0% 23 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 700 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 130 $0.00
90700 0% 1,216 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 802 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 140 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 1,864 $0.00
90710 0% 1,385 $0.00
C1776 Joint device (implantable) 0% 27 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 259 $0.00
90685 0% 691 $0.00
C1788 Port, indwelling (implantable) 0% 38 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 592 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 535 $0.00
88173 0% 41 $0.00
93356 0% 42 $0.00
G8990 Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals 0% 298 $0.00
76376 0% 113 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 0% 27 $0.00
91312 0% 237 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 130 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 264 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 0% 80 $0.00
C1729 Catheter, drainage 0% 287 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 100 $0.00
88360 0% 24 $0.00
82800 0% 71 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 55 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 0% 16 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 50 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 37 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 28 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 14 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 14 $0.00
90713 0% 27 $0.00
91308 0% 16 $0.00
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 0% 18 $0.00

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 officialMORIN, SUSAN (REGIONAL MANAGER PHYSICIAN PRACTICE)
Same official

Other billing entities under MORIN, SUSAN

Full network →
ProviderLocationPaid
Central Maine Clinical Associates CorporationLewiston, ME$525K
Susan D MorinWoonsocket, RI$17K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.