NPI: 1912204033 · SCARBOROUGH, ME 04074 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,654 | $70K |
| 2019 | 1,340 | $57K |
| 2020 | 2,027 | $81K |
| 2021 | 2,736 | $101K |
| 2022 | 2,793 | $99K |
| 2023 | 2,885 | $112K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 5,200 | 4,250 | $487K |
| 96365 | 80 | 54 | $13K | |
| 96409 | 31 | 24 | $5K | |
| 96375 | 132 | 73 | $4K | |
| 85025 | 2,488 | 1,932 | $2K | |
| 80053 | 1,895 | 1,398 | $2K | |
| G0008 | Admin influenza virus vac | 56 | 56 | $2K |
| 96167 | 131 | 112 | $1K | |
| 90686 | 56 | 56 | $1K | |
| Q3014 | Telehealth facility fee | 32 | 32 | $475.80 |
| 85045 | 414 | 390 | $430.92 | |
| 82728 | 64 | 64 | $299.86 | |
| 36415 | 756 | 727 | $57.89 | |
| 83550 | 12 | 12 | $26.22 | |
| 83540 | 12 | 12 | $19.41 | |
| J9370 | Vincristine sulfate 1 mg inj | 13 | 12 | $0.00 |
| J7050 | Normal saline solution infus | 997 | 407 | $0.00 |
| 36000 | 140 | 131 | $0.00 | |
| J3490 | Drugs unclassified injection | 690 | 231 | $0.00 |
| J1642 | Inj heparin sodium per 10 u | 236 | 142 | $0.00 |