Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1497052518 · SCARBOROUGH, ME 04074 · Neurology with Special Qualifications in Child Neurology Physician · NPI assigned 02/25/2011

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

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

$4.16M
Total Medicaid Paid
38,023
Total Claims
34,184
Beneficiaries
22
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (ASSCOAITE CFO)
Parent OrganizationMAINEHEALTH
NPI Enumeration Date02/25/2011

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 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
MAINEHEALTH CAPE ELIZABETH ME $1.82M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,666 $731K
2019 6,943 $658K
2020 6,509 $635K
2021 6,053 $686K
2022 6,282 $735K
2023 5,570 $713K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 28,011 26,382 $1.88M
J0585 Injection, onabotulinumtoxina, 1 unit 4,161 2,410 $1.45M
64615 1,752 1,720 $224K
95953 468 267 $129K
95816 620 603 $114K
70551 Magnetic resonance imaging, brain; without contrast material 564 546 $103K
95708 302 170 $101K
95819 439 421 $76K
95700 159 156 $28K
64642 55 53 $23K
J0475 Injection, baclofen, 10 mg 28 27 $10K
Q3014 Telehealth originating site facility fee 597 587 $8K
72141 68 68 $7K
90832 Psychotherapy, 30 minutes with patient 47 40 $4K
62370 27 26 $2K
95910 12 12 $2K
95909 13 13 $1K
95970 89 89 $417.13
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 49 41 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 96 93 $0.00
95886 393 388 $0.00
95885 73 72 $0.00