Medicaid Provider Spending

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

NORTHERN MAINE MEDICAL CENTER

NPI: 1568465144 · FORT KENT, ME 04743 · General Acute Care Hospital · NPI assigned 05/27/2005

$5.83M
Total Medicaid Paid
331,094
Total Claims
272,351
Beneficiaries
191
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZEWE, JEFFREY (CEO)
NPI Enumeration Date05/27/2005

Related Entities

Other providers sharing the same authorized official: ZEWE, JEFFREY

ProviderCityStateTotal Paid
NORTHERN MAINE MEDICAL CENTER FORT KENT ME $3.00M
NORTHERN MAINE MEDICAL CENTER MADAWASKA ME $2.80M
NORTHERN MAINE MEDICAL CENTER FORT KENT ME $1.53M
NORTHERN MAINE MEDICAL CENTER FORT KENT ME $1.32M
NORTHERN MAINE MEDICAL CENTER MADAWASKA ME $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,909 $577K
2019 44,513 $735K
2020 44,341 $726K
2021 47,734 $761K
2022 61,040 $983K
2023 51,413 $1.01M
2024 42,144 $1.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 12,659 11,518 $1.24M
99283 Emergency department visit for the evaluation and management, moderate severity 7,355 6,551 $785K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,807 3,386 $578K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 12,338 10,039 $435K
99232 Subsequent hospital care, per day, moderate complexity 8,350 2,321 $325K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,746 2,323 $214K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,378 2,119 $177K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,905 1,611 $176K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 906 849 $133K
71046 Radiologic examination, chest; 2 views 6,695 5,910 $124K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,541 1,422 $103K
90792 Psychiatric diagnostic evaluation with medical services 1,481 1,356 $100K
96361 Intravenous infusion, hydration; each additional hour 2,880 2,333 $75K
77067 Screening mammography, bilateral, including computer-aided detection 2,654 2,568 $75K
96375 Therapeutic injection; each additional sequential IV push 2,266 1,641 $55K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 750 663 $53K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,412 2,182 $48K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,633 1,394 $46K
99238 Hospital discharge day management, 30 minutes or less 1,134 1,069 $44K
84443 Thyroid stimulating hormone (TSH) 8,104 7,358 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,275 1,137 $39K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 23,802 18,877 $38K
20610 831 725 $36K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 599 536 $36K
70450 Computed tomography, head or brain; without contrast material 2,006 1,758 $35K
99233 Prolong inpt eval add15 m 601 423 $33K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 197 172 $33K
80061 Lipid panel 7,909 7,340 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,084 4,345 $32K
80048 Basic metabolic panel (calcium, ionized) 19,911 16,138 $31K
71045 Radiologic examination, chest; single view 2,444 2,032 $30K
77063 Screening digital breast tomosynthesis, bilateral 2,140 2,061 $29K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 1,161 1,077 $28K
45380 Colonoscopy, flexible; with biopsy, single or multiple 136 119 $28K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,363 1,179 $25K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,221 2,067 $25K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 253 221 $24K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 349 314 $24K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,131 235 $24K
36415 Collection of venous blood by venipuncture 35,017 26,484 $22K
80053 Comprehensive metabolic panel 7,263 6,100 $20K
99281 Emergency department visit for the evaluation and management, self-limited or minor 530 489 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,876 4,601 $19K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 479 116 $16K
83036 Hemoglobin; glycosylated (A1C) 6,575 6,076 $16K
80076 10,936 9,456 $16K
99239 Hospital discharge day management, more than 30 minutes 277 265 $16K
99231 Subsequent hospital care, per day, straightforward or low complexity 611 209 $13K
94060 238 226 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 289 256 $12K
83721 4,074 3,586 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,120 1,681 $11K
82607 2,318 2,155 $10K
73030 901 761 $10K
82728 2,258 2,000 $9K
71250 309 281 $8K
83550 2,831 2,593 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 716 626 $7K
71260 Computed tomography, thorax, diagnostic; with contrast material 114 103 $7K
84439 2,110 1,910 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 171 162 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 78 68 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 178 155 $5K
86140 5,826 4,910 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 384 148 $5K
99000 1,569 1,371 $5K
72100 206 185 $5K
82746 981 906 $5K
87088 2,840 2,488 $5K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 96 63 $4K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 865 703 $4K
83540 2,120 1,982 $4K
80306 1,703 1,489 $4K
83735 4,363 3,455 $4K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 49 30 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 179 177 $3K
84460 2,238 2,023 $3K
84450 2,251 2,035 $3K
83880 1,182 952 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,213 1,096 $3K
87631 118 114 $3K
85651 2,316 2,004 $3K
85610 3,414 1,872 $3K
73562 258 213 $3K
87186 1,431 1,267 $2K
93017 53 48 $2K
81001 5,619 4,869 $2K
82043 2,044 1,896 $2K
87070 416 381 $2K
87077 1,680 1,502 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 529 493 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 495 453 $2K
73630 228 193 $2K
81025 1,367 1,235 $2K
93226 75 64 $2K
73502 197 175 $2K
73610 174 150 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 119 118 $2K
82570 1,256 1,088 $2K
83690 2,778 2,377 $1K
84153 261 228 $1K
85027 598 515 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 493 453 $1K
86900 31 26 $1K
90853 Group psychotherapy (other than of a multiple-family group) 72 31 $1K
99024 96 86 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 71 70 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 27 24 $1K
81002 815 758 $908.56
71275 Computed tomographic angiography, chest, with contrast material 16 15 $698.30
87205 354 326 $690.68
76642 29 26 $592.35
Q3014 Telehealth originating site facility fee 54 53 $544.79
93971 14 14 $519.82
81003 1,464 1,351 $399.46
G0103 Prostate cancer screening; prostate specific antigen test (psa) 56 52 $394.97
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26 24 $316.08
83615 240 201 $294.89
73564 13 12 $291.69
85379 369 316 $285.73
94726 81 79 $271.16
83655 21 21 $259.77
87086 Culture, bacterial; quantitative colony count, urine 220 201 $244.81
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 661 566 $241.34
72070 15 13 $201.78
94729 100 98 $199.48
84100 147 131 $165.18
72125 Computed tomography, cervical spine; without contrast material 12 12 $161.16
82565 165 155 $157.61
82550 523 497 $152.73
86803 29 26 $132.35
99441 12 12 $130.79
87075 15 12 $119.71
82274 41 39 $102.25
87081 54 51 $100.81
93227 14 12 $95.30
93225 28 24 $93.48
84484 2,339 1,891 $81.22
T1015 Clinic visit/encounter, all-inclusive 24 18 $78.65
J2704 Injection, propofol, 10 mg 2,378 1,995 $69.73
J0690 Injection, cefazolin sodium, 500 mg 157 119 $64.39
87040 390 263 $61.92
A9577 Injection, gadobenate dimeglumine (multihance), per ml 175 164 $60.92
87390 14 14 $52.00
73130 14 12 $46.23
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,060 1,728 $44.76
86702 14 14 $43.16
86701 14 14 $35.92
83605 673 585 $35.26
A4206 Syringe with needle, sterile, 1 cc or less, each 412 381 $28.83
82150 16 13 $25.48
J7120 Ringers lactate infusion, up to 1000 cc 1,142 886 $24.32
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,327 1,934 $22.72
87340 13 13 $20.89
J1885 Injection, ketorolac tromethamine, per 15 mg 1,886 1,616 $18.60
82948 409 284 $17.68
85018 14 13 $14.52
84550 39 37 $13.33
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $11.89
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 679 413 $8.93
J7030 Infusion, normal saline solution , 1000 cc 1,739 1,351 $8.11
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 135 126 $6.79
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 21 12 $6.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 504 416 $4.41
81015 17 16 $3.47
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 14 14 $2.21
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,203 1,780 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 343 278 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 16 15 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,771 1,474 $0.00
88312 43 39 $0.00
94727 31 30 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 32 30 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 65 54 $0.00
84520 12 12 $0.00
90715 12 12 $0.00
82553 297 283 $0.00
J7050 Infusion, normal saline solution, 250 cc 776 369 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,047 921 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 671 608 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 174 121 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 980 867 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 99 49 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 78 74 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 101 70 $0.00
80320 32 26 $0.00
86901 31 26 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 34 28 $0.00
36416 21 21 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 30 13 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 18 13 $0.00