Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1346299815 · NORWAY, ME 04268 · General Acute Care Hospital · NPI assigned 05/10/2006

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

Authorized official HUNTER, ROBERT controls 13+ related entities in our dataset. Read more

$5.06M
Total Medicaid Paid
707,876
Total Claims
578,293
Beneficiaries
309
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUNTER, ROBERT (SENIOR VICE PRESIDENT - FINANCE)
NPI Enumeration Date05/10/2006

Related Entities

Other providers sharing the same authorized official: HUNTER, ROBERT

ProviderCityStateTotal Paid
MAINEHEALTH ROCKPORT ME $31.54M
MAINEHEALTH FARMINGTON ME $16.71M
MAINEHEALTH NORWAY ME $10.00M
MAINEHEALTH NORWAY ME $9.84M
MAINEHEALTH DAMARISCOTTA ME $9.60M
MAINEHEALTH BELFAST ME $5.33M
MAINEHEALTH LIVERMORE FALLS ME $3.15M
MAINEHEALTH BOOTHBAY HARBOR ME $2.90M
MAINEHEALTH DAMARISCOTTA ME $2.62M
MAINEHEALTH FARMINGTON ME $2.36M
UNIVERSITY PATHOLOGISTS HOUSTON TX $1.35M
MAINEHEALTH FARMINGTON ME $435K
P R HEMATOLOGY ONCOLOGY GROUP INC BAYAMON PR $69K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 78,109 $706K
2019 84,463 $757K
2020 81,195 $601K
2021 106,687 $645K
2022 113,083 $755K
2023 120,552 $798K
2024 123,787 $794K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 37,485 23,666 $517K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,834 3,617 $402K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,059 7,864 $299K
G0378 Hospital observation service, per hour 1,698 1,459 $247K
99283 Emergency department visit for the evaluation and management, moderate severity 24,838 18,488 $221K
70450 Computed tomography, head or brain; without contrast material 3,055 2,879 $200K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,065 1,245 $180K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 19,858 6,547 $166K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 4,042 3,501 $158K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13,585 11,926 $157K
99282 Emergency department visit for the evaluation and management, low to moderate severity 19,559 13,915 $153K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,333 1,287 $152K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,520 3,416 $141K
71046 Radiologic examination, chest; 2 views 7,016 6,553 $140K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 2,669 2,421 $115K
71250 1,204 1,176 $103K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,026 6,221 $103K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,094 1,053 $96K
80053 Comprehensive metabolic panel 32,896 28,155 $82K
A0425 Ground mileage, per statute mile 8,940 6,779 $75K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9,866 8,185 $70K
71045 Radiologic examination, chest; single view 4,055 3,746 $54K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,857 3,468 $54K
96375 Therapeutic injection; each additional sequential IV push 5,508 4,669 $54K
71275 Computed tomographic angiography, chest, with contrast material 346 339 $48K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 38,647 31,949 $45K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 1,463 1,154 $42K
96361 Intravenous infusion, hydration; each additional hour 6,515 5,673 $40K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,035 1,910 $40K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,280 1,247 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,331 3,731 $39K
80048 Basic metabolic panel (calcium, ionized) 11,815 9,771 $35K
84443 Thyroid stimulating hormone (TSH) 11,432 11,048 $33K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,318 5,901 $32K
73562 1,473 1,315 $28K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,079 2,771 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,983 4,240 $23K
72125 Computed tomography, cervical spine; without contrast material 502 476 $22K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 756 361 $21K
83036 Hemoglobin; glycosylated (A1C) 9,284 9,065 $21K
97161 2,124 1,998 $20K
73502 720 663 $19K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 690 457 $19K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,545 1,110 $18K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 246 243 $18K
73630 1,294 1,170 $17K
36415 Collection of venous blood by venipuncture 52,679 43,035 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,484 6,090 $17K
73030 880 796 $16K
97162 1,385 1,320 $15K
94060 346 323 $13K
82607 2,971 2,919 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,389 4,297 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,114 2,362 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 529 508 $11K
93971 204 195 $10K
70551 Magnetic resonance imaging, brain; without contrast material 114 113 $10K
72100 400 390 $9K
76830 Ultrasound, transvaginal 743 713 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,491 1,444 $9K
84484 7,482 5,168 $9K
73610 977 904 $9K
85610 7,106 5,079 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12,780 10,921 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 239 123 $7K
81001 9,661 8,771 $7K
93017 160 154 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,538 1,139 $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 4,405 3,687 $7K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 15 12 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,774 2,493 $6K
82728 2,798 2,721 $6K
83550 2,054 1,999 $6K
76642 357 329 $6K
83735 6,215 5,005 $6K
86140 3,982 3,466 $5K
93242 250 235 $5K
83880 3,018 2,681 $5K
83540 2,187 2,130 $5K
76770 53 52 $5K
96376 1,583 1,401 $5K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 559 437 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,439 1,370 $4K
85027 3,991 3,484 $4K
82746 1,042 1,017 $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 13,152 11,885 $4K
87186 3,040 2,877 $4K
74018 620 596 $4K
73110 515 455 $4K
73130 397 342 $4K
80061 Lipid panel 10,578 10,355 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 756 387 $3K
87086 Culture, bacterial; quantitative colony count, urine 7,701 7,005 $3K
87077 3,522 3,320 $3K
V2632 Posterior chamber intraocular lens 15 12 $3K
85652 3,329 2,954 $3K
83605 2,684 2,398 $3K
81003 4,899 4,635 $3K
83690 5,574 5,065 $3K
20610 312 145 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,343 3,183 $3K
84439 2,099 2,037 $2K
94729 181 165 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 24 24 $2K
86850 2,313 2,047 $2K
84156 495 434 $2K
80076 1,918 1,803 $2K
87040 1,800 1,400 $2K
J1170 Injection, hydromorphone, up to 4 mg 2,039 1,587 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 829 702 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,632 1,575 $2K
76536 67 66 $2K
93356 263 249 $2K
82784 377 369 $2K
86618 1,149 1,115 $2K
90715 429 418 $2K
70498 40 40 $2K
86803 2,541 2,472 $2K
70496 40 40 $2K
87070 4,475 4,292 $2K
84100 851 723 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 282 272 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,316 2,252 $1K
94726 126 115 $1K
99232 Subsequent hospital care, per day, moderate complexity 139 75 $1K
80069 64 62 $1K
36591 162 87 $1K
84460 425 409 $1K
99219 226 199 $1K
86900 2,330 2,050 $1K
82570 1,655 1,556 $1K
86901 2,344 2,063 $988.63
51798 250 239 $948.56
J2270 Injection, morphine sulfate, up to 10 mg 1,671 1,411 $945.15
82043 394 388 $936.36
85730 1,503 1,379 $906.61
J0690 Injection, cefazolin sodium, 500 mg 587 482 $890.41
83970 256 246 $888.94
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,754 4,868 $883.24
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 885 853 $880.70
J3010 Injection, fentanyl citrate, 0.1 mg 2,655 2,197 $880.57
77065 Tomosynthesis, mammo 72 68 $857.27
84703 3,419 3,220 $821.10
85379 657 635 $780.34
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 516 505 $744.79
97165 97 90 $722.40
82948 6,469 2,806 $687.51
J1644 Injection, heparin sodium, per 1000 units 442 190 $679.21
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 42 40 $669.48
76376 25 25 $662.72
97535 Self-care/home management training, each 15 minutes 296 245 $660.24
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,438 1,397 $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 2,776 2,560 $612.02
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 544 460 $602.09
87205 1,491 1,410 $592.33
80306 1,435 1,362 $591.93
86706 326 322 $591.35
J1650 Injection, enoxaparin sodium, 10 mg 390 170 $589.88
99217 265 245 $582.69
82803 296 266 $574.43
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,627 1,521 $562.19
85018 2,123 2,043 $547.57
97116 109 41 $534.53
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 537 510 $512.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,133 1,823 $505.69
87468 326 310 $495.03
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 217 125 $493.83
J2060 Injection, lorazepam, 2 mg 1,282 987 $488.89
87340 1,339 1,314 $482.60
99215 Prolong outpt/office vis 139 119 $477.16
87469 326 310 $476.19
73140 87 79 $471.93
99281 Emergency department visit for the evaluation and management, self-limited or minor 62 57 $450.28
71271 81 79 $448.50
87481 1,028 483 $434.88
96367 42 40 $426.66
J2250 Injection, midazolam hydrochloride, per 1 mg 1,752 1,513 $421.24
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,542 3,407 $413.82
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,352 1,174 $392.33
77067 Screening mammography, bilateral, including computer-aided detection 2,757 2,740 $381.58
72110 17 14 $378.36
86704 233 229 $378.01
97166 74 70 $376.07
J1885 Injection, ketorolac tromethamine, per 15 mg 3,069 2,590 $371.10
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 12 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) 163 160 $332.98
93016 186 179 $326.19
J3490 Unclassified drugs 57 54 $325.95
59025 Fetal non-stress test 1,874 876 $321.75
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,544 3,409 $317.38
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 167 141 $313.93
99220 41 39 $308.45
88142 1,323 1,299 $308.36
84702 730 522 $305.92
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,750 2,658 $301.31
73080 53 38 $295.45
81002 2,632 2,466 $280.97
99222 Initial hospital care, per day, moderate complexity 100 93 $271.77
00812 81 80 $260.11
87522 Neg quan hep c or qual rna 94 88 $245.85
J3370 Injection, vancomycin hcl, 500 mg 46 36 $233.88
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 552 511 $217.65
87511 522 483 $217.44
93018 186 179 $217.40
82550 218 193 $214.63
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 13 12 $208.21
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 317 292 $207.16
92557 141 102 $203.18
92567 250 173 $199.77
72070 12 12 $186.56
97035 121 59 $186.45
80305 5,861 4,528 $184.90
99459 259 254 $182.59
J1790 Injection, droperidol, up to 5 mg 279 239 $179.69
96415 16 13 $173.82
99239 Hospital discharge day management, more than 30 minutes 70 62 $170.30
J7120 Ringers lactate infusion, up to 1000 cc 160 129 $157.09
84550 85 76 $141.89
A9575 Injection, gadoterate meglumine, 0.1 ml 109 106 $118.25
J1010 Injection, methylprednisolone acetate, 1 mg 99 97 $114.91
J1200 Injection, diphenhydramine hcl, up to 50 mg 414 349 $114.01
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 226 216 $113.41
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 949 487 $110.29
99223 Prolong inpt eval add15 m 41 39 $108.67
81025 3,080 2,812 $106.95
84450 71 66 $104.98
G0103 Prostate cancer screening; prostate specific antigen test (psa) 184 181 $104.61
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 355 198 $98.28
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 129 64 $90.46
83615 31 29 $83.58
82044 716 698 $82.95
93244 106 103 $81.01
12001 78 39 $80.75
77063 Screening digital breast tomosynthesis, bilateral 1,227 1,217 $74.26
87400 290 285 $69.20
97014 22 13 $69.19
00811 30 29 $68.04
90832 Psychotherapy, 30 minutes with patient 330 163 $66.57
87210 2,068 1,997 $63.54
82565 64 52 $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 1,435 1,366 $61.08
10060 23 12 $51.98
82375 58 52 $50.86
86780 1,376 1,332 $49.61
J2919 Injection, methylprednisolone sodium succinate, 5 mg 60 53 $48.64
J0171 Injection, adrenalin, epinephrine, 0.1 mg 29 25 $48.36
84403 29 28 $48.15
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 64 64 $44.29
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 464 194 $43.70
87493 25 24 $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 334 311 $39.94
G0008 Administration of influenza virus vaccine 270 264 $33.35
J3475 Injection, magnesium sulfate, per 500 mg 42 33 $33.05
87634 53 50 $31.37
84165 16 14 $29.27
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 444 410 $28.21
83721 39 37 $27.22
80164 27 26 $24.45
80050 General health panel 59 55 $21.54
77066 Tomosynthesis, mammo 13 12 $20.77
86038 28 26 $19.80
87420 186 184 $17.10
86762 331 323 $12.69
82105 61 60 $12.03
86708 61 59 $11.81
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 29 27 $9.40
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 71 64 $9.34
86364 92 92 $8.90
J2003 Injection, lidocaine hydrochloride, 1 mg 27 22 $7.44
83655 1,193 1,135 $4.20
87081 24 24 $3.86
J1171 Injection, hydromorphone, 0.1 mg 22 19 $3.27
85007 29 26 $2.91
90686 168 162 $2.38
82947 51 50 $0.37
0004A 166 166 $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 328 294 $0.26
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 64 63 $0.10
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,080 959 $0.09
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 246 236 $0.01
91300 516 512 $0.00
77080 27 27 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 50 49 $0.00
0071A 173 173 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 41 39 $0.00
0002A 210 210 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 36 25 $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 14 13 $0.00
83516 43 38 $0.00
76819 Fetal biophysical profile; without non-stress testing 242 122 $0.00
0064A 572 572 $0.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 127 127 $0.00
90834 Psychotherapy, 45 minutes with patient 529 288 $0.00
80178 14 13 $0.00
0072A 132 132 $0.00
58300 27 14 $0.00
82950 346 341 $0.00
0001A 150 150 $0.00
0012A 1,411 1,410 $0.00
91301 1,192 1,168 $0.00
36416 87 87 $0.00
90656 15 15 $0.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 60 51 $0.00
0134A 51 50 $0.00
0011A 1,423 1,423 $0.00
J1815 Injection, insulin, per 5 units 52 28 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 49 47 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 12 12 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 17 17 $0.00