Mainegeneral Health

Mainegeneral Health was paid $1.83M by Medicaid between Jan 2018 and May 2024, across 1 billing code. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 100% of everything it billed.

33Billing provider infoMAINEGENERAL HEALTH
WATERVILLE, ME 04901

33aNPI1164583100assigned 12/13/2006

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$1.83M

24GClaims654

24DCodes billed1

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Maine

Rank by total paid#4 of 8

Median peer was paid$560K

This provider vs. median3.3×

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.

Single-Code Concentration100% of spending on code H2036 with only 1 total codes billed. Highly concentrated billing profile.

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	215	$555K
2019	190	$519K
2020	43	$141K
2021	25	$58K
2022	41	$108K
2023	87	$289K
2024incomplete	53	$162K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2036	Alcohol and/or other drug treatment program, per diem	100%	654	629	$1.83M

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 officialPIZZO, GREGORY (DIRECTOR OF FINANCE)

Same official

Other billing entities under PIZZO, GREGORY

Full network →

Provider	Location	Paid
Mainegeneral Health Rehabilitation & Long Term Care	Augusta, ME	$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.