NORTHERN MAINE MEDICAL CENTER
NPI: 1962481077
· FORT KENT, ME 04743
· Internal Medicine Physician
· NPI assigned 01/17/2006
$3.00M
Total Medicaid Paid
Provider Details
| Authorized Official | ZEWE, JEFFREY (CEO) |
| NPI Enumeration Date | 01/17/2006 |
Related Entities
Other providers sharing the same authorized official: ZEWE, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,497 |
$469K |
| 2019 |
5,774 |
$490K |
| 2020 |
4,928 |
$434K |
| 2021 |
3,771 |
$356K |
| 2022 |
5,502 |
$461K |
| 2023 |
4,912 |
$368K |
| 2024 |
6,034 |
$423K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,713 |
12,918 |
$2.84M |
| 99214 |
|
9,582 |
7,912 |
$110K |
| 99213 |
|
6,421 |
5,433 |
$38K |
| 90471 |
|
1,800 |
1,709 |
$8K |
| 99391 |
|
74 |
65 |
$3K |
| 99215 |
Prolong outpt/office vis |
308 |
229 |
$1K |
| 96110 |
|
38 |
38 |
$929.57 |
| 99212 |
|
275 |
231 |
$619.89 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
19 |
15 |
$298.34 |
| 99203 |
|
18 |
18 |
$298.07 |
| 99392 |
|
263 |
256 |
$245.33 |
| 90472 |
|
511 |
503 |
$25.47 |
| 99393 |
|
55 |
51 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90658 |
|
155 |
152 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
112 |
108 |
$0.00 |
| 90686 |
|
62 |
53 |
$0.00 |