Hospital
Mainehealth
Mainehealth was paid $4.09M by Medicaid between Jan 2018 and Dec 2023, across 38 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 34% of everything it billed.
33Billing provider infoMAINEHEALTH
PORTLAND, ME 04102
PORTLAND, ME 04102
33aNPI1063726891assigned 08/04/2010
33bProvider typeGeneral Acute Care Hospital
28Total paid$4.09M
24GClaims66,024
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other General Acute Care Hospital providers in Maine
Rank by total paid#18 of 33
Median peer was paid$4.34M
This provider vs. median0.9×
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.
Entity ProliferationAuthorized official INZANA, LUGENE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,068 | $730K | |
| 2019 | 9,816 | $643K | |
| 2020 | 9,987 | $687K | |
| 2021 | 11,910 | $741K | |
| 2022 | 10,697 | $657K | |
| 2023 | 11,546 | $631K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76819 | Fetal biophysical profile; without non-stress testing | 34% | 14,562 | 8,217 | $1.38M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 26% | 11,659 | 8,563 | $1.06M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 12% | 2,770 | 2,687 | $478K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 7.1% | 3,224 | 3,112 | $289K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.5% | 10,684 | 9,283 | $227K |
| 76825 | 5.1% | 519 | 495 | $207K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.1% | 4,219 | 3,635 | $170K |
| 76801 | 2.1% | 988 | 944 | $88K | |
| 76830 | Ultrasound, transvaginal | 1.4% | 719 | 704 | $58K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 7,204 | 3,948 | $33K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 472 | 451 | $25K |
| 76813 | <1% | 229 | 228 | $17K |
26 more codes
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 191 | $16K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 649 | $7K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 649 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 254 | $5K |
| 87481 | <1% | 960 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 51 | $4K |
| 87511 | <1% | 507 | $3K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 539 | $3K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 286 | $2K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 90 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 53 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $1K |
| 88142 | <1% | 321 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 67 | $862.34 |
| 90686 | <1% | 49 | $753.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 41 | $683.11 |
| 76820 | <1% | 2,767 | $567.37 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 302 | $250.65 |
| Q3014 | Telehealth originating site facility fee | <1% | 15 | $237.90 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 25 | $182.14 |
| 81025 | <1% | 121 | $154.28 | |
| 76821 | <1% | 416 | $97.15 | |
| 87070 | <1% | 96 | $61.42 | |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | <1% | 87 | $5.35 |
| 93325 | 0% | 182 | $0.00 | |
| 90715 | 0% | 41 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialINZANA, LUGENE (SVP FINANCE/CFO)
Parent organizationMAINEHEALTH SERVICES
| Provider | Location | Paid |
|---|---|---|
| Mainehealth | Portland, ME | $142.72M |
| Mainehealth | Portland, ME | $115.05M |
| Mainehealth | Biddeford, ME | $70.83M |
| Mainehealth | Brunswick, ME | $40.06M |
| Mainehealth | Farmington, ME | $22.62M |
| Mainehealth | Biddeford, ME | $10.89M |
| Mainehealth | Falmouth, ME | $6.54M |
| Mainehealth | Portland, ME | $5.46M |
| Mainehealth | Scarborough, ME | $5.04M |
| Mainehealth | Rockport, ME | $4.34M |
| Mainehealth | Scarborough, ME | $4.16M |
| Mainehealth | Scarborough, ME | $3.94M |
| Mainehealth | Portland, ME | $3.55M |
| Mainehealth | Waldoboro, ME | $3.43M |
| Mainehealth | Scarborough, ME | $3.18M |
| Mainehealth | Brunswick, ME | $2.77M |
| Mainehealth | Portland, ME | $2.68M |
| Mainehealth | Falmouth, ME | $2.10M |
| Mainehealth | Portland, ME | $1.87M |
| Mainehealth | Cape Elizabeth, ME | $1.82M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.