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    OpenPayerNPI Medicare & MedicaidNorthern Maine Medical Center
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    Northern Maine Medical Center — Billing Profile & Reimbursement Data

    NPI 1952303422 · Fort Kent, ME · Community/Retail Pharmacy

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    Northern Maine Medical Center is a community/retail pharmacy provider located in Fort Kent, Maine. This profile covers 10 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorthern Maine Medical Center
    Address182 Market St
    CityFort Kent
    StateME
    ZIP04743
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedAugust 13, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$71.3K
    Medicaid$280

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…310$70$22.5K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.110$140$16K
    G0008Administration of influenza virus vaccine350$30$9.8K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$280$5.9K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.150$40$5.7K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.40$130$4.9K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count740$10$4.5K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…40$20$840
    G0009Administration of pneumococcal vaccine20$30$640
    0134AN/A10$30$350

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91320428040$130$15K
    913223714060$140$13.3K
    K103437100510$10$9.7K
    90677349020$270$6.2K
    90662423030$70$4.6K
    904804720060$30$3.9K
    G00081234050$30$2.5K
    0134A456020$40$1.4K
    G00093410020$30$570
    9068664020$20$520

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips20$20$270
    0003AN/A50$0$0
    0011AN/A400$0$0
    0012AN/A380$0$0
    0013AN/A290$0$0
    0031AN/A90$0$0
    0064AN/A190$0$0
    0134AN/A140$0$0
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.140$0$0
    90656This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage.20$0$0

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maine median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0009Administration of pneumococcal vaccine3550330$20$29.7K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…3640230$50$22.6K
    G0008Administration of influenza virus vaccine40260110$20$17.8K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…78190110$1$5.7K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…4550710$1$4.2K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.124050$30$4.1K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.267060$10$3.5K
    0012AN/A1710090$10$2.2K
    0011AN/A1610090$10$2.1K
    0003AN/A73030$20$1.7K

    Showing 1–10 of 21

    Nearby Providers

    Other providers in the same ZIP code as Northern Maine Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fish River Rural HealthMEFederally Qualified Health Center (FQHC)$0$7.7M
    Northern Maine Medical CenterMECritical Access Hospital$0$5.8M
    Northern Maine Medical CenterMERural Health Clinic/Center$0$3M
    Northern Maine Medical CenterMERural Health Clinic/Center$0$1.5M
    Northern Maine Medical CenterMERural Health Clinic/Center$0$1.3M
    Fish River Rural HealthMEFederally Qualified Health Center (FQHC)$0$1.3M
    Ambulance Service Inc.MELand Ambulance$223.7K$733.4K
    Polished Oral Health, LLCMEDental Hygienist$0$371.9K
    John HotchkissMEDiagnostic Radiology Physician$93.6K$61.4K
    James HarrisMEInternal Medicine Physician$91.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maine Distribution
    Northern Maine Medical Center — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine
    Medicaid Revenue by Year vs. Maine Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    Northern Maine Medical Center — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine