MICMAC HEALTH DEPARTMENT
NPI: 1881232346
· PRESQUE ISLE, ME 04769
· Community Health Clinic/Center
· NPI assigned 12/16/2019
$818K
Total Medicaid Paid
Provider Details
| Authorized Official | ESPLING, KATIE (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 12/16/2019 |
Related Entities
Other providers sharing the same authorized official: ESPLING, KATIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
413 |
$111K |
| 2021 |
465 |
$81K |
| 2022 |
446 |
$158K |
| 2023 |
771 |
$283K |
| 2024 |
370 |
$184K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
940 |
844 |
$393K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
422 |
383 |
$176K |
| 90837 |
Psychotherapy, 53 minutes with patient |
269 |
143 |
$156K |
| T1015 |
Clinic visit/encounter, all-inclusive |
189 |
170 |
$86K |
| 91320 |
|
59 |
48 |
$4K |
| 90480 |
|
64 |
53 |
$1K |
| 0124A |
|
59 |
47 |
$1K |
| 0002A |
|
34 |
20 |
$183.47 |
| 0001A |
|
23 |
20 |
$15.87 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
38 |
$6.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
42 |
$1.61 |
| 90686 |
|
40 |
25 |
$1.61 |
| 0012A |
|
38 |
25 |
$0.00 |
| 0011A |
|
34 |
25 |
$0.00 |
| 91301 |
|
80 |
56 |
$0.00 |
| 91300 |
|
68 |
45 |
$0.00 |
| 91312 |
|
43 |
33 |
$0.00 |