Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAINEHEALTH

NPI: 1265912067 · PORTLAND, ME 04101 · Community/Behavioral Health Agency · NPI assigned 08/21/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official INZANA, LUGENE controls 20+ related entities in our dataset. Read more

$115.05M
Total Medicaid Paid
782,905
Total Claims
206,241
Beneficiaries
35
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (ASSOCIATE CFO)
NPI Enumeration Date08/21/2018

Related Entities

Other providers sharing the same authorized official: INZANA, LUGENE

ProviderCityStateTotal Paid
MAINEHEALTH PORTLAND ME $142.72M
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 PORTLAND ME $4.09M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58 $0.00
2019 144,546 $17.61M
2020 135,553 $17.11M
2021 142,362 $18.77M
2022 149,064 $19.76M
2023 116,830 $23.09M
2024 94,492 $18.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 112,460 3,515 $22.45M
H2011 Crisis intervention service, per 15 minutes 45,844 21,817 $22.19M
H2010 Comprehensive medication services, per 15 minutes 101,780 89,173 $13.28M
H0040 Assertive community treatment program, per diem 164,796 10,144 $13.07M
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 112,396 3,515 $12.70M
H2021 Community-based wrap-around services, per 15 minutes 21,644 1,017 $8.63M
H2012 Behavioral health day treatment, per hour 29,943 1,924 $7.64M
H0004 Behavioral health counseling and therapy, per 15 minutes 100,099 41,527 $6.29M
H2018 Psychosocial rehabilitation services, per diem 41,084 1,297 $3.27M
H2033 Multisystemic therapy for juveniles, per 15 minutes 2,388 713 $1.56M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 3,075 352 $1.15M
T2022 Case management, per month 1,728 1,529 $592K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,689 15,591 $524K
99408 1,764 1,554 $362K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 1,764 1,554 $330K
G9012 Other specified case management service not elsewhere classified 5,616 1,449 $315K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 1,149 357 $173K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,909 879 $149K
T1013 Sign language or oral interpretive services, per 15 minutes 2,519 1,360 $93K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,145 722 $89K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,689 2,357 $58K
H2000 Comprehensive multidisciplinary evaluation 634 598 $52K
99215 Prolong outpt/office vis 710 606 $33K
97535 Self-care/home management training, each 15 minutes 837 217 $29K
99406 1,248 613 $7K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 609 131 $6K
90832 Psychotherapy, 30 minutes with patient 520 336 $6K
97150 Therapeutic procedure(s), group (2 or more individuals) 430 136 $5K
99205 Prolong outpt/office vis 28 28 $3K
99443 66 63 $2K
90837 Psychotherapy, 53 minutes with patient 32 25 $379.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 12 $27.96
80305 748 660 $27.63
96127 508 436 $17.74
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) 38 34 $0.00