NPI: 1710297494 · SOUTH PORTLAND, ME 04106 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,768 | $173K |
| 2019 | 5,190 | $170K |
| 2020 | 4,627 | $179K |
| 2021 | 6,018 | $226K |
| 2022 | 5,573 | $215K |
| 2023 | 4,882 | $242K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 14,087 | 13,451 | $971K |
| 52000 | 730 | 719 | $163K | |
| 52310 | 38 | 38 | $36K | |
| 51705 | 240 | 222 | $15K | |
| 76775 | 447 | 436 | $8K | |
| 51798 | 2,568 | 2,485 | $4K | |
| 87086 | 2,197 | 2,036 | $2K | |
| Q3014 | Telehealth facility fee | 177 | 176 | $2K |
| 81003 | 7,833 | 7,263 | $930.85 | |
| 87186 | 507 | 457 | $702.74 | |
| 81001 | 1,027 | 988 | $475.33 | |
| 51702 | 16 | 14 | $460.33 | |
| 87077 | 517 | 470 | $457.96 | |
| 81002 | 597 | 543 | $17.98 | |
| 88112 | 77 | 76 | $12.61 |