Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1881709202 · BOOTHBAY HARBOR, ME 04538 · Family Nurse Practitioner · NPI assigned 08/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HUNTER, ROBERT controls 13+ related entities in our dataset. Read more

$2.90M
Total Medicaid Paid
25,807
Total Claims
20,397
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUNTER, ROBERT (SENIOR VICE PRESIDENT)
Parent OrganizationMAINEHEALTH
NPI Enumeration Date08/19/2006

Related Entities

Other providers sharing the same authorized official: HUNTER, ROBERT

ProviderCityStateTotal Paid
MAINEHEALTH ROCKPORT ME $31.54M
MAINEHEALTH FARMINGTON ME $16.71M
MAINEHEALTH NORWAY ME $10.00M
MAINEHEALTH NORWAY ME $9.84M
MAINEHEALTH DAMARISCOTTA ME $9.60M
MAINEHEALTH BELFAST ME $5.33M
MAINEHEALTH NORWAY ME $5.06M
MAINEHEALTH LIVERMORE FALLS ME $3.15M
MAINEHEALTH DAMARISCOTTA ME $2.62M
MAINEHEALTH FARMINGTON ME $2.36M
UNIVERSITY PATHOLOGISTS HOUSTON TX $1.35M
MAINEHEALTH FARMINGTON ME $435K
P R HEMATOLOGY ONCOLOGY GROUP INC BAYAMON PR $69K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,792 $317K
2019 3,576 $309K
2020 3,082 $393K
2021 3,579 $442K
2022 4,272 $486K
2023 4,122 $517K
2024 3,384 $441K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 11,773 8,499 $2.64M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,838 5,007 $107K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,368 3,839 $89K
90834 Psychotherapy, 45 minutes with patient 1,802 1,213 $38K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 290 216 $15K
G0008 Administration of influenza virus vaccine 489 483 $6K
90832 Psychotherapy, 30 minutes with patient 276 217 $5K
90686 479 472 $4K
90656 60 60 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 179 165 $1K
0124A 19 19 $702.62
98968 28 13 $101.85
99442 56 51 $41.57
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 59 53 $0.00
99441 12 12 $0.00
90472 Immunization administration, each additional vaccine (list separately) 25 25 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 27 26 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 27 27 $0.00