Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SEBASTICOOK FAMILY DOCTORS

NPI: 1831426022 · DOVER FOXCROFT, ME 04426 · Family Medicine Physician · NPI assigned 11/09/2009

$195K
Total Medicaid Paid
3,441
Total Claims
2,915
Beneficiaries
9
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialWINSLOW, ROBIN (CHIEF OPERATING OFFICER)
NPI Enumeration Date11/09/2009

Related Entities

Other providers sharing the same authorized official: WINSLOW, ROBIN

ProviderCityStateTotal Paid
SEBASTICOOK FAMILY DOCTORS NEWPORT ME $7.41M
SEBASTICOOK FAMILY DOCTORS DEXTER ME $4.28M
SEBASTICOOK FAMILY DOCTORS NEWPORT ME $395K
SEBASTICOOK FAMILY DOCTORS PITTSFIELD ME $245K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,314 $132K
2019 1,127 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,319 1,074 $174K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 490 437 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 994 835 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 462 400 $293.11
36415 Collection of venous blood by venipuncture 91 85 $163.50
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 15 $161.44
G0008 Administration of influenza virus vaccine 39 38 $35.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 13 13 $0.00
90686 18 18 $0.00