NPI: 1871043810 · PORTLAND, ME 04101 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $0.00 |
| 2020 | 5,857 | $294K |
| 2021 | 8,987 | $595K |
| 2022 | 11,630 | $716K |
| 2023 | 18,529 | $1.25M |
| 2024 | 16,683 | $1.22M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 18,636 | 14,831 | $4.03M |
| T1013 | Sign lang/oral interpreter | 356 | 324 | $10K |
| 99213 | 1,411 | 1,297 | $4K | |
| 99214 | 1,374 | 1,229 | $3K | |
| D2391 | 1,137 | 860 | $2K | |
| D1351 | 11,584 | 1,713 | $1K | |
| 99212 | 255 | 248 | $1K | |
| D1354 | 3,012 | 556 | $1K | |
| D0274 | 1,662 | 1,625 | $1K | |
| D1206 | 1,955 | 1,905 | $914.14 | |
| 90834 | 133 | 69 | $910.18 | |
| D0272 | 1,671 | 1,634 | $888.81 | |
| D0120 | 2,138 | 2,088 | $833.30 | |
| D1120 | 2,890 | 2,871 | $714.90 | |
| D0150 | 2,177 | 2,124 | $499.19 | |
| G0008 | Admin influenza virus vac | 37 | 37 | $485.28 |
| D1110 | 799 | 789 | $384.97 | |
| 90651 | 247 | 244 | $267.38 | |
| 99188 | 2,706 | 2,673 | $216.98 | |
| 90832 | 29 | 24 | $211.28 | |
| D7111 | 123 | 89 | $203.02 | |
| D2392 | 1,452 | 1,087 | $195.34 | |
| 91300 | 43 | 43 | $195.34 | |
| D1330 | 71 | 70 | $192.64 | |
| D1352 | 418 | 178 | $135.05 | |
| 90471 | 743 | 720 | $110.97 | |
| 99000 | 30 | 26 | $106.68 | |
| D0330 | 1,940 | 1,891 | $73.50 | |
| 90460 | 397 | 392 | $63.33 | |
| 36415 | 28 | 25 | $56.42 | |
| 90472 | 371 | 365 | $37.01 | |
| D7140 | 25 | 25 | $0.00 | |
| 90744 | 50 | 50 | $0.00 | |
| D3120 | 15 | 14 | $0.00 | |
| D0602 | 65 | 65 | $0.00 | |
| D0273 | 28 | 28 | $0.00 | |
| D0603 | 349 | 346 | $0.00 | |
| 90656 | 55 | 55 | $0.00 | |
| 87635 | 17 | 17 | $0.00 | |
| 90686 | 42 | 42 | $0.00 | |
| 90619 | 26 | 26 | $0.00 | |
| D0140 | 13 | 13 | $0.00 | |
| 90461 | 97 | 97 | $0.00 | |
| 90715 | 271 | 270 | $0.00 | |
| 90707 | 87 | 86 | $0.00 | |
| D0190 | 91 | 91 | $0.00 | |
| 90713 | 337 | 333 | $0.00 | |
| D0220 | 105 | 104 | $0.00 | |
| 90633 | 133 | 131 | $0.00 | |
| 99203 | 34 | 34 | $0.00 | |
| 99211 | 14 | 13 | $0.00 | |
| 90734 | 12 | 12 | $0.00 | |
| 99215 | Prolong outpt/office vis | 12 | 12 | $0.00 |