MICMAC HEALTH DEPARTMENT
NPI: 1831312313
· PRESQUE ISLE, ME 04769
· Primary Care Clinic/Center
· NPI assigned 04/11/2007
$327K
Total Medicaid Paid
Provider Details
| Authorized Official | ESPLING, KATIE (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 04/11/2007 |
Related Entities
Other providers sharing the same authorized official: ESPLING, KATIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
397 |
$108K |
| 2019 |
927 |
$219K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
728 |
570 |
$300K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
428 |
358 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
85 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$30.00 |
| D1330 |
|
48 |
40 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |