NP / PA
Mainehealth
Mainehealth was paid $9.84M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoMAINEHEALTH
NORWAY, ME 04268
NORWAY, ME 04268
33aNPI1811288061assigned 04/22/2011
33bProvider typePediatric Nurse Practitioner
28Total paid$9.84M
24GClaims91,189
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HUNTER, ROBERT controls 13+ related entities in our dataset. Read more
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 | 13,011 | $906K | |
| 2019 | 12,355 | $938K | |
| 2020 | 9,826 | $1.20M | |
| 2021 | 10,855 | $1.39M | |
| 2022 | 12,392 | $1.66M | |
| 2023 | 13,963 | $1.75M | |
| 2024incomplete | 18,787 | $2.00M |
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 | 97% | 39,970 | 32,090 | $9.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 16,316 | 13,994 | $155K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,041 | 1,473 | $47K |
| 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 | <1% | 2,813 | 2,663 | $24K |
| G0008 | Administration of influenza virus vaccine | <1% | 1,122 | 1,104 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,527 | 1,434 | $19K |
| 90656 | <1% | 447 | 442 | $18K | |
| G0009 | Administration of pneumococcal vaccine | <1% | 851 | 831 | $12K |
| 90474 | <1% | 690 | 684 | $5K | |
| 90677 | <1% | 583 | 566 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,470 | 3,444 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,282 | 4,232 | $3K |
38 more codes
| 90686 | <1% | 573 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,327 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,370 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 77 | $1K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 78 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,495 | $1K |
| 90680 | <1% | 411 | $1K | |
| 90480 | <1% | 50 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 190 | $962.00 |
| 99188 | <1% | 606 | $642.19 | |
| 90633 | <1% | 332 | $529.91 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,596 | $510.92 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,429 | $487.10 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 135 | $354.85 |
| 90648 | <1% | 461 | $177.51 | |
| 90723 | <1% | 223 | $172.48 | |
| 36416 | <1% | 513 | $22.28 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $18.95 |
| 0002A | 0% | 55 | $0.00 | |
| 99177 | 0% | 195 | $0.00 | |
| 90681 | 0% | 293 | $0.00 | |
| 90670 | 0% | 66 | $0.00 | |
| 90734 | 0% | 99 | $0.00 | |
| 91300 | 0% | 94 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 252 | $0.00 |
| 99442 | 0% | 35 | $0.00 | |
| 90710 | 0% | 27 | $0.00 | |
| 90707 | 0% | 15 | $0.00 | |
| 90700 | 0% | 28 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 396 | $0.00 |
| 90651 | 0% | 152 | $0.00 | |
| 90697 | 0% | 260 | $0.00 | |
| 90698 | 0% | 137 | $0.00 | |
| 90696 | 0% | 16 | $0.00 | |
| 0001A | 0% | 29 | $0.00 | |
| 99441 | 0% | 21 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 15 | $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 officialHUNTER, ROBERT (SENIOR VICE PRESIDENT - FINANCE)
Parent organizationMAINEHEALTH
| Provider | Location | Paid |
|---|---|---|
| Mainehealth | Rockport, ME | $31.54M |
| Mainehealth | Farmington, ME | $16.71M |
| Mainehealth | Norway, ME | $10.00M |
| Mainehealth | Damariscotta, ME | $9.60M |
| Mainehealth | Belfast, ME | $5.33M |
| Mainehealth | Norway, ME | $5.06M |
| Mainehealth | Livermore Falls, ME | $3.15M |
| Mainehealth | Boothbay Harbor, ME | $2.90M |
| Mainehealth | Damariscotta, ME | $2.62M |
| Mainehealth | Farmington, ME | $2.36M |
| University Pathologists | Houston, TX | $1.35M |
| Mainehealth | Farmington, ME | $435K |
| P R Hematology Oncology Group INC | Bayamon, PR | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.