DORCHESTER FAMILY MEDICINE, LLC
NPI: 1912484668
· CAMBRIDGE, MD 21613
· Family Medicine Physician
· NPI assigned 07/25/2018
$126K
Total Medicaid Paid
Provider Details
| Authorized Official | COULBOURN, SARA (OWNER) |
| NPI Enumeration Date | 07/25/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
50 |
$1K |
| 2021 |
195 |
$19K |
| 2022 |
670 |
$32K |
| 2023 |
989 |
$41K |
| 2024 |
638 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
934 |
705 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
253 |
175 |
$19K |
| 90682 |
|
17 |
16 |
$854.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
44 |
$797.61 |
| 3074F |
|
762 |
585 |
$500.00 |
| 3075F |
|
16 |
14 |
$60.00 |
| 3078F |
|
231 |
193 |
$0.00 |
| 3079F |
|
283 |
217 |
$0.00 |