Hospital
Mainehealth
Mainehealth was paid $5.46M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 27% of everything it billed.
33Billing provider infoMAINEHEALTH
PORTLAND, ME 04102
PORTLAND, ME 04102
33aNPI1508897059assigned 07/05/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$5.46M
24GClaims135,076
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Maine
Rank by total paid#14 of 33
Median peer was paid$4.34M
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 20,946 | $746K | |
| 2019 | 21,603 | $930K | |
| 2020 | 12,329 | $580K | |
| 2021 | 19,635 | $680K | |
| 2022 | 21,907 | $795K | |
| 2023 | 23,384 | $953K | |
| 2024incomplete | 15,272 | $773K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 27% | 24,210 | 20,726 | $1.49M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 23% | 22,723 | 12,396 | $1.26M |
| 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 | 17% | 27,731 | 23,133 | $942K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 9.3% | 10,698 | 6,315 | $510K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.2% | 3,790 | 2,480 | $231K |
| Q3014 | Telehealth originating site facility fee | 3.7% | 16,818 | 9,633 | $201K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.7% | 2,787 | 2,558 | $200K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.2% | 6,967 | 2,471 | $172K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 5,614 | 4,609 | $131K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.9% | 1,147 | 731 | $104K |
| G0410 | Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes | 1.8% | 1,039 | 143 | $96K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 2,601 | 2,089 | $69K |
9 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 3,281 | $33K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 104 | $10K |
| 80305 | <1% | 2,173 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 75 | $3K |
| 90849 | <1% | 40 | $3K | |
| G0177 | Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) | <1% | 2,004 | $868.20 |
| 99442 | <1% | 37 | $578.88 | |
| G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | <1% | 1,174 | $525.80 |
| 36415 | Collection of venous blood by venipuncture | <1% | 63 | $80.44 |
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 (CHIEF FINANCIAL OFFICER)
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 | 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 | Portland, ME | $1.87M |
| Mainehealth | Cape Elizabeth, ME | $1.82M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.