Physician
Newport Family Practice PA
Newport Family Practice PA was paid $869K by Medicaid between Jan 2018 and Jan 2020, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoNEWPORT FAMILY PRACTICE PA
NEWPORT, ME 04953
NEWPORT, ME 04953
33aNPI1760450910assigned 03/14/2006
33bProvider typeFamily Medicine Physician
28Total paid$869K
24GClaims26,305
24DCodes billed20
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Family Medicine Physician providers in Maine
Rank by total paid#16 of 84
Median peer was paid$67K
This provider vs. median13×
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 | 12,718 | $413K | |
| 2019 | 13,266 | $441K | |
| 2020 | 321 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 83% | 10,933 | 7,222 | $717K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 8,269 | 6,497 | $67K |
| 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 | 7.0% | 3,818 | 3,130 | $61K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 1.3% | 511 | 482 | $11K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 129 | 116 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 835 | 449 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 112 | 105 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 110 | 104 | $951.19 |
| 80053 | Comprehensive metabolic panel | <1% | 157 | 149 | $660.21 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 210 | 195 | $621.18 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 183 | 158 | $591.63 |
| 36415 | Collection of venous blood by venipuncture | <1% | 610 | 535 | $515.24 |
8 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 34 | $430.12 |
| 80061 | Lipid panel | <1% | 63 | $371.29 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 61 | $328.20 |
| 80305 | <1% | 84 | $313.86 | |
| 84439 | <1% | 64 | $290.08 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 44 | $187.70 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 30 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 48 | $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 officialBAKER, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| John E Baker DPM PA | Spring Hill, FL | $3K |
| Healthy Heart Cardiology INC. | Laguna Hills, CA | $143.20 |
| AIDS Delaware, INC. | Rehoboth Beach, DE | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.