NPI: 1982338240 · PORTLAND, ME 04102 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 342 | $21K |
| 2023 | 4,903 | $434K |
| 2024 | 9,068 | $732K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 4,480 | 3,859 | $1.08M |
| T1013 | Sign lang/oral interpreter | 1,621 | 1,481 | $47K |
| 99214 | 1,364 | 1,273 | $22K | |
| 99213 | 1,386 | 1,301 | $17K | |
| 90480 | 120 | 118 | $4K | |
| 91322 | 33 | 33 | $3K | |
| G0467 | Fqhc visit, estab pt | 27 | 24 | $2K |
| 99215 | Prolong outpt/office vis | 227 | 213 | $2K |
| G0008 | Admin influenza virus vac | 199 | 191 | $2K |
| 99211 | 165 | 147 | $2K | |
| 99000 | 347 | 316 | $1K | |
| 92340 | 93 | 86 | $802.14 | |
| 99203 | 129 | 124 | $534.76 | |
| 99393 | 49 | 49 | $516.70 | |
| 36415 | 184 | 180 | $377.58 | |
| 99212 | 98 | 96 | $357.19 | |
| 99173 | 56 | 56 | $273.44 | |
| 90715 | 188 | 188 | $255.38 | |
| 90686 | 153 | 152 | $255.38 | |
| 90471 | 867 | 851 | $125.87 | |
| 99204 | 151 | 142 | $112.65 | |
| 90472 | 548 | 538 | $0.00 | |
| 90713 | 209 | 209 | $0.00 | |
| 90633 | 255 | 254 | $0.00 | |
| 90461 | 187 | 186 | $0.00 | |
| 99391 | 103 | 97 | $0.00 | |
| 92015 | 130 | 125 | $0.00 | |
| 91321 | 21 | 21 | $0.00 | |
| 90460 | 391 | 379 | $0.00 | |
| 99188 | 42 | 42 | $0.00 | |
| 99392 | 74 | 74 | $0.00 | |
| 90700 | 13 | 13 | $0.00 | |
| 90707 | 29 | 27 | $0.00 | |
| 90744 | 100 | 99 | $0.00 | |
| 90677 | 67 | 67 | $0.00 | |
| 90656 | 135 | 135 | $0.00 | |
| D1206 | 56 | 56 | $0.00 | |
| 90651 | 16 | 16 | $0.00 |