Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1295800118 · STOCKTON SPRINGS, ME 04981 · Rural Health Clinic/Center · NPI assigned 11/24/2006

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

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

$1.10M
Total Medicaid Paid
16,544
Total Claims
13,945
Beneficiary Records
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (ASSOCIATE CFO, MAINEHEALTH)
Parent OrganizationMAINEHEALTH
NPI Enumeration Date11/24/2006

Related Entities

Other providers sharing the same authorized official: INZANA, LUGENE

ProviderCityStateTotal 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,198 $56K
2019 2,330 $99K
2020 2,342 $190K
2021 2,740 $205K
2022 2,202 $180K
2023 2,544 $170K
2024 3,188 $203K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
T1015 Clinic visit/encounter, all-inclusive 6,533 4,824 $970K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,297 2,988 $62K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,383 2,992 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 756 701 $10K
G0008 Administration of influenza virus vaccine 250 248 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 656 610 $2K
36415 Collection of venous blood by venipuncture 1,312 1,257 $1K
99215 Prolong outpt/office vis 27 25 $1K
90832 Psychotherapy, 30 minutes with patient 57 36 $926.60
90686 193 192 $463.26
90834 Psychotherapy, 45 minutes with patient 32 25 $298.17
90688 32 32 $214.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 16 15 $154.05