NPI: 1811156904 · LINCOLN, ME 04457 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,491 | $1.20M |
| 2019 | 23,674 | $1.34M |
| 2020 | 26,687 | $1.24M |
| 2021 | 37,848 | $1.52M |
| 2022 | 30,005 | $1.64M |
| 2023 | 30,739 | $2.35M |
| 2024 | 36,018 | $2.43M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 86,451 | 46,675 | $11.09M |
| G0467 | Fqhc visit, estab pt | 13,354 | 10,030 | $265K |
| G0470 | Fqhc visit, mh estab pt | 4,422 | 1,958 | $121K |
| G2025 | Dis site tele svcs rhc/fqhc | 2,572 | 1,521 | $88K |
| 90834 | 23,306 | 9,083 | $48K | |
| 99213 | 38,210 | 29,033 | $43K | |
| 99214 | 12,751 | 9,495 | $20K | |
| 90832 | 7,566 | 4,115 | $9K | |
| G0008 | Admin influenza virus vac | 1,326 | 1,078 | $6K |
| 99442 | 422 | 359 | $6K | |
| 99443 | 253 | 196 | $4K | |
| 90677 | 12 | 12 | $2K | |
| 90686 | 1,079 | 849 | $2K | |
| 99441 | 209 | 172 | $1K | |
| 99212 | 2,018 | 1,706 | $1K | |
| Q3014 | Telehealth facility fee | 243 | 177 | $923.51 |
| 90791 | 549 | 487 | $551.30 | |
| 99393 | 798 | 685 | $530.31 | |
| G0009 | Admin pneumococcal vaccine | 59 | 56 | $280.19 |
| 90471 | 2,532 | 2,316 | $268.94 | |
| 90662 | 90 | 85 | $235.17 | |
| 99391 | 386 | 363 | $220.09 | |
| 90715 | 399 | 316 | $189.65 | |
| 99203 | 728 | 638 | $189.65 | |
| 99394 | 419 | 358 | $156.56 | |
| G0468 | Fqhc visit, ippe or awv | 124 | 122 | $113.74 |
| 99392 | 882 | 776 | $74.98 | |
| 90837 | 268 | 144 | $62.74 | |
| 99395 | 616 | 529 | $41.34 | |
| 0124A | 34 | 29 | $21.24 | |
| 90688 | 103 | 89 | $1.88 | |
| 90472 | 1,324 | 1,094 | $0.00 | |
| 99204 | 74 | 51 | $0.00 | |
| 99173 | 141 | 140 | $0.00 | |
| 99396 | 309 | 275 | $0.00 | |
| 4004F | 327 | 231 | $0.00 | |
| 90670 | 24 | 24 | $0.00 | |
| 99215 | Prolong outpt/office vis | 277 | 184 | $0.00 |
| G8483 | Flu imm no admin doc rea | 756 | 497 | $0.00 |
| 99307 | 15 | 13 | $0.00 | |
| 91312 | 34 | 29 | $0.00 | |
| 93010 | 12 | 12 | $0.00 | |
| 90853 | 27 | 15 | $0.00 | |
| 91300 | 14 | 14 | $0.00 | |
| 99310 | Prolong nursin fac eval 15m | 14 | 12 | $0.00 |
| 36416 | 542 | 492 | $0.00 | |
| 36415 | 319 | 272 | $0.00 | |
| 87426 | 319 | 235 | $0.00 | |
| G0439 | Ppps, subseq visit | 92 | 90 | $0.00 |
| 96110 | 95 | 83 | $0.00 | |
| 87428 | 499 | 406 | $0.00 | |
| 90651 | 26 | 26 | $0.00 | |
| D1206 | 12 | 12 | $0.00 | |
| 0064A | 17 | 13 | $0.00 | |
| 99202 | 12 | 12 | $0.00 |