NPI: 1760474613 · PLEASANT POINT, ME 04667 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,786 | $868K |
| 2019 | 5,455 | $1.00M |
| 2020 | 3,102 | $497K |
| 2021 | 4,444 | $756K |
| 2022 | 5,154 | $1.24M |
| 2023 | 5,427 | $1.16M |
| 2024 | 5,113 | $1.34M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 15,089 | 8,333 | $5.94M |
| G0467 | Fqhc visit, estab pt | 1,160 | 774 | $252K |
| 90834 | 2,345 | 1,305 | $185K | |
| 99213 | 5,627 | 4,114 | $162K | |
| 99214 | 1,929 | 1,631 | $83K | |
| 90837 | 1,317 | 779 | $67K | |
| 99211 | 200 | 158 | $56K | |
| 87635 | 262 | 196 | $24K | |
| 99212 | 1,562 | 1,002 | $20K | |
| 99000 | 270 | 183 | $13K | |
| G0470 | Fqhc visit, mh estab pt | 45 | 24 | $11K |
| 99443 | 375 | 204 | $10K | |
| A0425 | Ground mileage | 67 | 40 | $9K |
| 99001 | 41 | 36 | $8K | |
| D0140 | 132 | 110 | $7K | |
| 98940 | 72 | 51 | $3K | |
| 90471 | 98 | 90 | $2K | |
| 0002A | 98 | 79 | $1K | |
| A0429 | Bls-emergency | 13 | 12 | $1K |
| 90832 | 83 | 59 | $1K | |
| 0001A | 107 | 77 | $960.87 | |
| D1206 | 239 | 234 | $907.85 | |
| D0220 | 44 | 42 | $797.18 | |
| D0120 | 23 | 22 | $700.00 | |
| D1330 | 234 | 229 | $576.00 | |
| 36415 | 635 | 546 | $485.57 | |
| D1120 | 12 | 12 | $414.00 | |
| G0008 | Admin influenza virus vac | 41 | 39 | $410.46 |
| 80305 | 372 | 198 | $400.16 | |
| 0011A | 14 | 13 | $181.19 | |
| 90686 | 52 | 41 | $118.52 | |
| 0012A | 32 | 27 | $56.78 | |
| D0190 | 361 | 318 | $13.34 | |
| D1110 | 54 | 54 | $0.00 | |
| 92015 | 24 | 13 | $0.00 | |
| 91300 | 256 | 190 | $0.00 | |
| D0330 | 13 | 13 | $0.00 | |
| 91301 | 127 | 107 | $0.00 | |
| D0150 | 40 | 39 | $0.00 | |
| 90792 | 16 | 15 | $0.00 |