Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1508897059 · PORTLAND, ME 04102 · General Acute Care Hospital · NPI assigned 07/05/2006

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

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

$5.46M
Total Medicaid Paid
135,076
Total Claims
91,977
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (CHIEF FINANCIAL OFFICER)
Parent OrganizationMAINEHEALTH
NPI Enumeration Date07/05/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 15,272 $773K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 24,210 20,726 $1.49M
90837 Psychotherapy, 53 minutes with patient 22,723 12,396 $1.26M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27,731 23,133 $942K
90834 Psychotherapy, 45 minutes with patient 10,698 6,315 $510K
90832 Psychotherapy, 30 minutes with patient 3,790 2,480 $231K
Q3014 Telehealth originating site facility fee 16,818 9,633 $201K
90792 Psychiatric diagnostic evaluation with medical services 2,787 2,558 $200K
90853 Group psychotherapy (other than of a multiple-family group) 6,967 2,471 $172K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,614 4,609 $131K
90847 Family psychotherapy with the patient present, 50 minutes 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 1,039 143 $96K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,601 2,089 $69K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,281 2,909 $33K
90846 Family psychotherapy without the patient present, 50 minutes 104 60 $10K
80305 2,173 1,185 $4K
99215 Prolong outpt/office vis 75 38 $3K
90849 40 27 $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) 2,004 221 $868.20
99442 37 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) 1,174 180 $525.80
36415 Collection of venous blood by venipuncture 63 36 $80.44