Physician
Mainehealth
Mainehealth was paid $1.87M by Medicaid between Jan 2024 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoMAINEHEALTH
PORTLAND, ME 04101
PORTLAND, ME 04101
33aNPI1487346722assigned 05/24/2023
33bProvider typeNeuromusculoskeletal Medicine & OMM Physician
28Total paid$1.87M
24GClaims51,777
24DCodes billed25
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Neuromusculoskeletal Medicine & OMM Physician providers in Maine
Rank by total paid#3 of 14
Median peer was paid$61K
This provider vs. median31×
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 | |
|---|---|---|---|
| 2024incomplete | 51,777 | $1.87M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 44% | 18,044 | 16,329 | $822K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 17,965 | 16,574 | $632K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.9% | 2,648 | 1,925 | $110K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.7% | 2,460 | 1,830 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 1,416 | 1,315 | $65K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 1,171 | 1,061 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 738 | 702 | $35K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.0% | 218 | 198 | $19K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 169 | 144 | $11K |
| 99310 | Prolong nursin fac eval 15m | <1% | 261 | 161 | $10K |
| 99349 | <1% | 317 | 241 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 133 | 120 | $7K |
13 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 108 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 53 | $5K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 106 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 87 | $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) | <1% | 5,152 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 117 | $2K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 15 | $981.38 |
| 98925 | <1% | 79 | $855.80 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 105 | $620.15 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $451.89 |
| 99347 | <1% | 26 | $325.69 | |
| 97810 | <1% | 365 | $72.50 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $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)
Parent organizationMAINEHEALTH
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.