Maine Medical Partners
Maine Medical Partners was paid $2.23M by Medicaid between Jan 2018 and Dec 2023, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
PORTLAND, ME 04102
Next to other Psychologist providers in Maine
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,385 | $421K | |
| 2019 | 7,245 | $401K | |
| 2020 | 5,100 | $286K | |
| 2021 | 7,042 | $388K | |
| 2022 | 6,208 | $350K | |
| 2023 | 6,640 | $385K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 42% | 17,499 | 16,975 | $944K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 40% | 12,621 | 12,217 | $894K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 2,566 | 2,528 | $86K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.5% | 913 | 889 | $78K |
| 99205 | Prolong outpt/office vis | 2.5% | 555 | 536 | $55K |
| 96158 | 1.4% | 846 | 663 | $32K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 1.1% | 542 | 515 | $24K |
| 96152 | 1.0% | 590 | 473 | $23K | |
| 97803 | <1% | 620 | 596 | $20K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 331 | 134 | $19K |
| 96159 | <1% | 510 | 404 | $10K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 214 | 181 | $8K |
18 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 82 | $7K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 182 | $5K |
| 94010 | <1% | 793 | $5K | |
| 90837 | Psychotherapy session, about an hour | <1% | 52 | $4K |
| 99358 | Prolong nursin fac eval 15m | <1% | 40 | $3K |
| 99443 | <1% | 99 | $3K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 25 | $3K |
| 96154 | <1% | 99 | $3K | |
| 99401 | <1% | 132 | $2K | |
| 99402 | <1% | 32 | $1K | |
| 99442 | <1% | 66 | $971.31 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $722.40 |
| 97802 | <1% | 13 | $664.92 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 45 | $635.63 |
| 96150 | <1% | 14 | $593.97 | |
| 95251 | <1% | 24 | $560.12 | |
| 96127 | <1% | 88 | $276.00 | |
| 99441 | <1% | 14 | $142.68 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Maine Medical Partners | Portland, ME | $2.97M |
| Maine Medical Partners | Scarborough, ME | $2.62M |
| Maine Medical Partners | Scarborough, ME | $1.45M |
| Maine Medical Partners | Saco, ME | $1.37M |
| Maine Medical Partners | Portland, ME | $765K |
| Maine Medical Partners | Cape Elizabeth, ME | $760K |
| Maine Medical Partners | Portland, ME | $674K |
| Maine Medical Partners | Scarborough, ME | $395K |
| Maine Medical Partners | Windham, ME | $348K |
| Maine Medical Partners | Scarborough, ME | $314K |
| Maine Medical Partners | Falmouth, ME | $235K |
| Maine Medical Partners | South Portland, ME | $206K |
| Maine Medical Partners | Portland, ME | $814.90 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.