Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ME › Norway › NPI 1346299815
Hospital

Mainehealth

Mainehealth was paid $5.06M by Medicaid between Jan 2018 and Dec 2024, across 309 billing codes. Its largest line is 99284, emergency room visit (serious) — 10% of everything it billed.

33Billing provider infoMAINEHEALTH
NORWAY, ME 04268
33aNPI1346299815assigned 05/10/2006
28Total paid$5.06M
24GClaims707,876
24DCodes billed309
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Maine

Rank by total paid#15 of 33
Median peer was paid$4.34M
This provider vs. median1.2×

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 HUNTER, ROBERT controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201878,109$706K
201984,463$757K
202081,195$601K
2021106,687$645K
2022113,083$755K
2023120,552$798K
2024incomplete123,787$794K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 10% 37,485 23,666 $517K
74177 Computed tomography, abdomen and pelvis; with contrast material 7.9% 3,834 3,617 $402K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.9% 13,059 7,864 $299K
G0378 Hospital observation service, per hour 4.9% 1,698 1,459 $247K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.4% 24,838 18,488 $221K
70450 Computed tomography, head or brain; without contrast material 4.0% 3,055 2,879 $200K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.6% 2,065 1,245 $180K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.3% 19,858 6,547 $166K
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 3.1% 4,042 3,501 $158K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3.1% 13,585 11,926 $157K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.0% 19,559 13,915 $153K
74176 Computed tomography, abdomen and pelvis; without contrast material 3.0% 1,333 1,287 $152K
297 more codes
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.8% 4,520 $141K
71046 Radiologic examination, chest; 2 views 2.8% 7,016 $140K
A0427 Emergency ambulance ride, advanced life support 2.3% 2,669 $115K
71250 2.0% 1,204 $103K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.0% 7,026 $103K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.9% 1,094 $96K
80053 Comprehensive metabolic panel 1.6% 32,896 $82K
A0425 Ground mileage, per statute mile 1.5% 8,940 $75K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.4% 9,866 $70K
71045 Radiologic examination, chest; single view 1.1% 4,055 $54K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.1% 8,857 $54K
96375 Therapeutic injection; each additional sequential IV push 1.1% 5,508 $54K
71275 Computed tomographic angiography, chest, with contrast material <1% 346 $48K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 38,647 $45K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 1,463 $42K
96361 Intravenous infusion, hydration; each additional hour <1% 6,515 $40K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,035 $40K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,280 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,331 $39K
80048 Basic metabolic panel (calcium, ionized) <1% 11,815 $35K
84443 Thyroid stimulating hormone (TSH) <1% 11,432 $33K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,318 $32K
73562 <1% 1,473 $28K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,079 $28K
99214 Doctor's office visit, returning patient (more involved) <1% 4,983 $23K
72125 Computed tomography, cervical spine; without contrast material <1% 502 $22K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 756 $21K
83036 Hemoglobin; glycosylated (A1C) <1% 9,284 $21K
97161 <1% 2,124 $20K
73502 <1% 720 $19K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 690 $19K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,545 $18K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 246 $18K
73630 <1% 1,294 $17K
36415 Collection of venous blood by venipuncture <1% 52,679 $17K
99213 Doctor's office visit, returning patient (routine) <1% 7,484 $17K
73030 <1% 880 $16K
97162 <1% 1,385 $15K
94060 <1% 346 $13K
82607 <1% 2,971 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,389 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,114 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 529 $11K
93971 <1% 204 $10K
70551 Magnetic resonance imaging, brain; without contrast material <1% 114 $10K
72100 <1% 400 $9K
76830 Ultrasound, transvaginal <1% 743 $9K
99204 Doctor's office visit, new patient (more involved) <1% 1,491 $9K
84484 <1% 7,482 $9K
73610 <1% 977 $9K
85610 <1% 7,106 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 12,780 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 239 $7K
81001 <1% 9,661 $7K
93017 <1% 160 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,538 $7K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 4,405 $7K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 15 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,774 $6K
82728 <1% 2,798 $6K
83550 <1% 2,054 $6K
76642 <1% 357 $6K
83735 <1% 6,215 $6K
86140 <1% 3,982 $5K
93242 <1% 250 $5K
83880 <1% 3,018 $5K
83540 <1% 2,187 $5K
76770 <1% 53 $5K
96376 <1% 1,583 $5K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 559 $4K
99203 Doctor's office visit, new patient (routine) <1% 1,439 $4K
85027 <1% 3,991 $4K
82746 <1% 1,042 $4K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 13,152 $4K
87186 <1% 3,040 $4K
74018 <1% 620 $4K
73110 <1% 515 $4K
73130 <1% 397 $4K
80061 Lipid panel <1% 10,578 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 756 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,701 $3K
87077 <1% 3,522 $3K
V2632 Posterior chamber intraocular lens <1% 15 $3K
85652 <1% 3,329 $3K
83605 <1% 2,684 $3K
81003 <1% 4,899 $3K
83690 <1% 5,574 $3K
20610 <1% 312 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 3,343 $3K
84439 <1% 2,099 $2K
94729 <1% 181 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 24 $2K
86850 <1% 2,313 $2K
84156 <1% 495 $2K
80076 <1% 1,918 $2K
87040 <1% 1,800 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,039 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 829 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,632 $2K
76536 <1% 67 $2K
93356 <1% 263 $2K
82784 <1% 377 $2K
86618 <1% 1,149 $2K
90715 <1% 429 $2K
70498 <1% 40 $2K
86803 <1% 2,541 $2K
70496 <1% 40 $2K
87070 <1% 4,475 $2K
84100 <1% 851 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 282 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,316 $1K
94726 <1% 126 $1K
99232 Hospital visit by a doctor, follow-up day <1% 139 $1K
80069 <1% 64 $1K
36591 <1% 162 $1K
84460 <1% 425 $1K
99219 <1% 226 $1K
86900 <1% 2,330 $1K
82570 <1% 1,655 $1K
86901 <1% 2,344 $988.63
51798 <1% 250 $948.56
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,671 $945.15
82043 <1% 394 $936.36
85730 <1% 1,503 $906.61
J0690 Injection, cefazolin sodium, 500 mg <1% 587 $890.41
83970 <1% 256 $888.94
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,754 $883.24
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 885 $880.70
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,655 $880.57
77065 Tomosynthesis, mammo <1% 72 $857.27
84703 <1% 3,419 $821.10
85379 <1% 657 $780.34
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 516 $744.79
97165 <1% 97 $722.40
82948 <1% 6,469 $687.51
J1644 Injection, heparin sodium, per 1000 units <1% 442 $679.21
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel <1% 42 $669.48
76376 <1% 25 $662.72
97535 Self-care/home management training, each 15 minutes <1% 296 $660.24
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,438 $616.16
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 2,776 $612.02
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 544 $602.09
87205 <1% 1,491 $592.33
80306 <1% 1,435 $591.93
86706 <1% 326 $591.35
J1650 Injection, enoxaparin sodium, 10 mg <1% 390 $589.88
99217 <1% 265 $582.69
82803 <1% 296 $574.43
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,627 $562.19
85018 <1% 2,123 $547.57
97116 <1% 109 $534.53
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 537 $512.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,133 $505.69
87468 <1% 326 $495.03
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 217 $493.83
J2060 Injection, lorazepam, 2 mg <1% 1,282 $488.89
87340 <1% 1,339 $482.60
99215 Doctor's office visit, returning patient (complex) <1% 139 $477.16
87469 <1% 326 $476.19
73140 <1% 87 $471.93
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 62 $450.28
71271 <1% 81 $448.50
87481 <1% 1,028 $434.88
96367 <1% 42 $426.66
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,752 $421.24
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,542 $413.82
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,352 $392.33
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,757 $381.58
72110 <1% 17 $378.36
86704 <1% 233 $378.01
97166 <1% 74 $376.07
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,069 $371.10
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 12 $358.45
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) <1% 163 $332.98
93016 <1% 186 $326.19
J3490 Unclassified drugs <1% 57 $325.95
59025 Fetal non-stress test <1% 1,874 $321.75
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,544 $317.38
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 167 $313.93
99220 <1% 41 $308.45
88142 <1% 1,323 $308.36
84702 <1% 730 $305.92
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,750 $301.31
73080 <1% 53 $295.45
81002 <1% 2,632 $280.97
99222 Initial hospital care, per day, moderate complexity <1% 100 $271.77
00812 <1% 81 $260.11
87522 Neg quan hep c or qual rna <1% 94 $245.85
J3370 Injection, vancomycin hcl, 500 mg <1% 46 $233.88
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 552 $217.65
87511 <1% 522 $217.44
93018 <1% 186 $217.40
82550 <1% 218 $214.63
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) <1% 13 $208.21
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 317 $207.16
92557 <1% 141 $203.18
92567 <1% 250 $199.77
72070 <1% 12 $186.56
97035 <1% 121 $186.45
80305 <1% 5,861 $184.90
99459 <1% 259 $182.59
J1790 Injection, droperidol, up to 5 mg <1% 279 $179.69
96415 <1% 16 $173.82
99239 Hospital discharge day management, more than 30 minutes <1% 70 $170.30
J7120 Ringers lactate infusion, up to 1000 cc <1% 160 $157.09
84550 <1% 85 $141.89
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 109 $118.25
J1010 Injection, methylprednisolone acetate, 1 mg <1% 99 $114.91
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 414 $114.01
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 226 $113.41
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 949 $110.29
99223 Prolong inpt eval add15 m <1% 41 $108.67
81025 <1% 3,080 $106.95
84450 <1% 71 $104.98
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 184 $104.61
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 355 $98.28
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 129 $90.46
83615 <1% 31 $83.58
82044 <1% 716 $82.95
93244 <1% 106 $81.01
12001 <1% 78 $80.75
77063 Screening digital breast tomosynthesis, bilateral <1% 1,227 $74.26
87400 <1% 290 $69.20
97014 <1% 22 $69.19
00811 <1% 30 $68.04
90832 Psychotherapy session, about 30 minutes <1% 330 $66.57
87210 <1% 2,068 $63.54
82565 <1% 64 $62.29
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 1,435 $61.08
10060 <1% 23 $51.98
82375 <1% 58 $50.86
86780 <1% 1,376 $49.61
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 60 $48.64
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 29 $48.36
84403 <1% 29 $48.15
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 64 $44.29
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 464 $43.70
87493 <1% 25 $40.17
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% 334 $39.94
G0008 Administration of influenza virus vaccine <1% 270 $33.35
J3475 Injection, magnesium sulfate, per 500 mg <1% 42 $33.05
87634 <1% 53 $31.37
84165 <1% 16 $29.27
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 444 $28.21
83721 <1% 39 $27.22
80164 <1% 27 $24.45
80050 General health panel <1% 59 $21.54
77066 Tomosynthesis, mammo <1% 13 $20.77
86038 <1% 28 $19.80
87420 <1% 186 $17.10
86762 <1% 331 $12.69
82105 <1% 61 $12.03
86708 <1% 61 $11.81
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 29 $9.40
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 71 $9.34
86364 <1% 92 $8.90
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 27 $7.44
83655 <1% 1,193 $4.20
87081 <1% 24 $3.86
J1171 Injection, hydromorphone, 0.1 mg <1% 22 $3.27
85007 <1% 29 $2.91
90686 <1% 168 $2.38
82947 <1% 51 $0.37
0004A <1% 166 $0.29
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 328 $0.26
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting <1% 64 $0.10
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 1,080 $0.09
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 246 $0.01
91300 0% 516 $0.00
77080 0% 27 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 0% 50 $0.00
0071A 0% 173 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 0% 41 $0.00
0002A 0% 210 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 36 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 14 $0.00
83516 0% 43 $0.00
76819 Fetal biophysical profile; without non-stress testing 0% 242 $0.00
0064A 0% 572 $0.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 0% 127 $0.00
90834 Psychotherapy session, about 45 minutes 0% 529 $0.00
80178 0% 14 $0.00
0072A 0% 132 $0.00
58300 0% 27 $0.00
82950 0% 346 $0.00
0001A 0% 150 $0.00
0012A 0% 1,411 $0.00
91301 0% 1,192 $0.00
36416 0% 87 $0.00
90656 0% 15 $0.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 0% 60 $0.00
0134A 0% 51 $0.00
0011A 0% 1,423 $0.00
J1815 Injection, insulin, per 5 units 0% 52 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 0% 49 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 0% 12 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 0% 17 $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 officialHUNTER, ROBERT (SENIOR VICE PRESIDENT - FINANCE)
Same official

Other billing entities under HUNTER, ROBERT

Full network →
ProviderLocationPaid
MainehealthRockport, ME$31.54M
MainehealthFarmington, ME$16.71M
MainehealthNorway, ME$10.00M
MainehealthNorway, ME$9.84M
MainehealthDamariscotta, ME$9.60M
MainehealthBelfast, ME$5.33M
MainehealthLivermore Falls, ME$3.15M
MainehealthBoothbay Harbor, ME$2.90M
MainehealthDamariscotta, ME$2.62M
MainehealthFarmington, ME$2.36M
University PathologistsHouston, TX$1.35M
MainehealthFarmington, ME$435K
P R Hematology Oncology Group INCBayamon, PR$69K

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