NPI: 1760575609 · BANGOR, ME 04401 · Family Medicine Physician · NPI assigned 10/02/2006
| Authorized Official | KOHL, THOMAS (CFO) |
| NPI Enumeration Date | 10/02/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 105 | $36K |
| 2019 | 12 | $4K |
| 2020 | 47 | $14K |
| 2021 | 820 | $32K |
| 2022 | 382 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management, each 15 minutes | 1,366 | 310 | $103K |