Agency
Mainehealth
Mainehealth was paid $115.05M by Medicaid between Oct 2018 and Dec 2024, across 35 billing codes. Its largest line is T1020, help at home with daily living, billed per day — 20% of everything it billed.
33Billing provider infoMAINEHEALTH
PORTLAND, ME 04101
PORTLAND, ME 04101
33aNPI1265912067assigned 08/21/2018
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$115.05M
24GClaims782,905
24DCodes billed35
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Maine
Rank by total paid#1 of 116
Median peer was paid$1.80M
This provider vs. median64×
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 | 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 | |
| 2024incomplete | 94,492 | $18.71M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1020 | Help at home with daily living, billed per dayPersonal 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) | 20% | 112,460 | 3,515 | $22.45M |
| H2011 | Crisis intervention service, per 15 minutes | 19% | 45,844 | 21,817 | $22.19M |
| H2010 | Comprehensive medication services, per 15 minutes | 12% | 101,780 | 89,173 | $13.28M |
| H0040 | Assertive community treatment program, per diem | 11% | 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 | 11% | 112,396 | 3,515 | $12.70M |
| H2021 | Community-based wrap-around services, per 15 minutes | 7.5% | 21,644 | 1,017 | $8.63M |
| H2012 | Behavioral health day treatment, per hour | 6.6% | 29,943 | 1,924 | $7.64M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 5.5% | 100,099 | 41,527 | $6.29M |
| H2018 | Psychosocial rehabilitation services, per diem | 2.8% | 41,084 | 1,297 | $3.27M |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 1.4% | 2,388 | 713 | $1.56M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | <1% | 3,075 | 352 | $1.15M |
| T2022 | Case management, per month | <1% | 1,728 | 1,529 | $592K |
23 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 16,689 | $524K |
| 99408 | <1% | 1,764 | $362K | |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | <1% | 1,764 | $330K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 5,616 | $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% | 1,149 | $173K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 3,909 | $149K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 2,519 | $93K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 3,145 | $89K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,689 | $58K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 634 | $52K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 710 | $33K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 837 | $29K |
| 99406 | <1% | 1,248 | $7K | |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 609 | $6K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 520 | $6K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 430 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 28 | $3K |
| 99443 | <1% | 66 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 32 | $379.08 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $27.96 |
| 80305 | <1% | 748 | $27.63 | |
| 96127 | <1% | 508 | $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) | 0% | 38 | $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 (ASSOCIATE CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.