Hospital
Mainehealth
Mainehealth was paid $593K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 41% of everything it billed.
33Billing provider infoMAINEHEALTH
WESTBROOK, ME 04092
WESTBROOK, ME 04092
33aNPI1598798787assigned 07/09/2006
33bProvider typePsychiatric Hospital
28Total paid$593K
24GClaims46,360
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
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 | 2,143 | $4K | |
| 2019 | 2,177 | $0.00 | |
| 2020 | 1,669 | $0.00 | |
| 2021 | 5,319 | $181.06 | |
| 2022 | 7,721 | $69K | |
| 2023 | 13,422 | $220K | |
| 2024incomplete | 13,909 | $299K |
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 | 41% | 4,474 | 3,855 | $241K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 2,738 | 1,563 | $74K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 12% | 1,295 | 746 | $72K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 9.2% | 850 | 589 | $55K |
| Q3014 | Telehealth originating site facility fee | 5.4% | 4,908 | 3,361 | $32K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.3% | 2,256 | 1,318 | $31K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.8% | 2,804 | 2,090 | $28K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.6% | 4,004 | 985 | $21K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.7% | 1,567 | 892 | $10K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 1.0% | 108 | 78 | $6K |
| G0410 | Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes | <1% | 2,174 | 323 | $6K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 413 | 184 | $5K |
26 more codes
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 116 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 534 | $2K |
| 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% | 1,793 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 130 | $1K |
| 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% | 1,319 | $796.74 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 71 | $732.90 |
| 80061 | Lipid panel | <1% | 884 | $631.36 |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 84 | $409.70 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 562 | $273.71 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 186 | $249.33 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 864 | $235.24 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 764 | $201.60 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,155 | $136.71 |
| 80053 | Comprehensive metabolic panel | <1% | 482 | $126.72 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,007 | $22.67 |
| 90785 | <1% | 23 | $10.60 | |
| G0378 | Hospital observation service, per hour | 0% | 5,253 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 1,609 | $0.00 |
| 99224 | 0% | 190 | $0.00 | |
| 86580 | 0% | 28 | $0.00 | |
| 99220 | 0% | 69 | $0.00 | |
| 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 | 0% | 16 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 922 | $0.00 |
| 99225 | 0% | 526 | $0.00 | |
| 99226 | 0% | 136 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 46 | $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 (CFO & ASSOCIATE CFO)
| 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 | Portland, ME | $1.87M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.