NPI: 1811288061 · NORWAY, ME 04268 · 363LP0200X
| Year | Claims | Total 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 |
| 2024 | 18,787 | $2.00M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 39,970 | 32,090 | $9.51M |
| 99213 | 16,316 | 13,994 | $155K | |
| 90832 | 2,041 | 1,473 | $47K | |
| 99214 | 2,813 | 2,663 | $24K | |
| G0008 | Admin influenza virus vac | 1,122 | 1,104 | $20K |
| 99212 | 1,527 | 1,434 | $19K | |
| 90656 | 447 | 442 | $18K | |
| G0009 | Admin pneumococcal vaccine | 851 | 831 | $12K |
| 90474 | 690 | 684 | $5K | |
| 90677 | 583 | 566 | $3K | |
| 99393 | 3,470 | 3,444 | $3K | |
| 99392 | 4,282 | 4,232 | $3K | |
| 90686 | 573 | 562 | $3K | |
| 90472 | 1,327 | 1,321 | $3K | |
| 99394 | 2,370 | 2,350 | $2K | |
| 90791 | 77 | 77 | $1K | |
| 90847 | 78 | 52 | $1K | |
| 96110 | 1,495 | 1,481 | $1K | |
| 90680 | 411 | 410 | $1K | |
| 90480 | 50 | 50 | $1K | |
| G2211 | Complex e/m visit add on | 190 | 178 | $962.00 |
| 99188 | 606 | 595 | $642.19 | |
| 90633 | 332 | 330 | $529.91 | |
| 99391 | 4,596 | 4,180 | $510.92 | |
| 90471 | 1,429 | 1,392 | $487.10 | |
| 99395 | 135 | 130 | $354.85 | |
| 90648 | 461 | 459 | $177.51 | |
| 90723 | 223 | 223 | $172.48 | |
| 36416 | 513 | 499 | $22.28 | |
| 99215 | Prolong outpt/office vis | 13 | 13 | $18.95 |
| 0002A | 55 | 53 | $0.00 | |
| 99177 | 195 | 194 | $0.00 | |
| 90681 | 293 | 286 | $0.00 | |
| 90670 | 66 | 66 | $0.00 | |
| 90734 | 99 | 98 | $0.00 | |
| 91300 | 94 | 83 | $0.00 | |
| D0145 | 252 | 248 | $0.00 | |
| 99442 | 35 | 35 | $0.00 | |
| 90710 | 27 | 27 | $0.00 | |
| 90707 | 15 | 15 | $0.00 | |
| 90700 | 28 | 27 | $0.00 | |
| 90715 | 13 | 13 | $0.00 | |
| D1206 | 396 | 394 | $0.00 | |
| 90651 | 152 | 150 | $0.00 | |
| 90697 | 260 | 253 | $0.00 | |
| 90698 | 137 | 135 | $0.00 | |
| 90696 | 16 | 16 | $0.00 | |
| 0001A | 29 | 29 | $0.00 | |
| 99441 | 21 | 20 | $0.00 | |
| 94640 | 15 | 13 | $0.00 |