NPI: 1992281422 · BANGOR, ME 04401 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 140 | $5K |
| 2019 | 1,209 | $62K |
| 2020 | 1,581 | $50K |
| 2021 | 8,692 | $155K |
| 2022 | 6,105 | $199K |
| 2023 | 3,142 | $189K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | 3,417 | 3,012 | $168K | |
| 99204 | 1,545 | 1,453 | $135K | |
| 99214 | 1,955 | 1,833 | $133K | |
| 99213 | 2,251 | 2,124 | $94K | |
| U0003 | Cov-19 amp prb hgh thruput | 4,487 | 1,865 | $71K |
| 87428 | 470 | 442 | $18K | |
| U0005 | Infec agen detec ampli probe | 4,484 | 1,864 | $18K |
| 87880 | 856 | 810 | $9K | |
| 87426 | 193 | 183 | $5K | |
| 99211 | 318 | 278 | $3K | |
| 87804 | 166 | 77 | $2K | |
| 71046 | 60 | 53 | $982.71 | |
| 90471 | 73 | 72 | $926.67 | |
| 90686 | 63 | 62 | $832.29 | |
| 99000 | 211 | 180 | $666.75 | |
| 81025 | 13 | 13 | $84.11 | |
| 81003 | 16 | 15 | $31.50 | |
| H0033 | Oral med adm direct observe | 53 | 53 | $0.00 |
| G2023 | Specimen collect covid-19 | 238 | 136 | $0.00 |