Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1487346722 · PORTLAND, ME 04101 · Neuromusculoskeletal Medicine & OMM Physician · NPI assigned 05/24/2023

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

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

$1.87M
Total Medicaid Paid
51,777
Total Claims
46,447
Beneficiaries
25
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (ASSOCIATE CFO)
Parent OrganizationMAINEHEALTH
NPI Enumeration Date05/24/2023

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 CAPE ELIZABETH ME $1.82M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 51,777 $1.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,044 16,329 $822K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,965 16,574 $632K
90832 Psychotherapy, 30 minutes with patient 2,648 1,925 $110K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,460 1,830 $68K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,416 1,315 $65K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,171 1,061 $50K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 738 702 $35K
90791 Psychiatric diagnostic evaluation 218 198 $19K
99215 Prolong outpt/office vis 169 144 $11K
99310 Prolong nursin fac eval 15m 261 161 $10K
99349 317 241 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 133 120 $7K
90834 Psychotherapy, 45 minutes with patient 108 87 $7K
90792 Psychiatric diagnostic evaluation with medical services 53 48 $5K
99232 Subsequent hospital care, per day, moderate complexity 106 24 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 87 83 $4K
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) 5,152 4,950 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 117 89 $2K
90847 Family psychotherapy with the patient present, 50 minutes 15 13 $981.38
98925 79 66 $855.80
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 105 103 $620.15
D0145 Oral evaluation for a patient under three years of age 12 12 $451.89
99347 26 26 $325.69
97810 365 334 $72.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00