Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1598798787 · WESTBROOK, ME 04092 · Psychiatric Hospital · NPI assigned 07/09/2006

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

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

$593K
Total Medicaid Paid
46,360
Total Claims
26,072
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (CFO & ASSOCIATE CFO)
NPI Enumeration Date07/09/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 13,909 $299K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,474 3,855 $241K
90834 Psychotherapy, 45 minutes with patient 2,738 1,563 $74K
90837 Psychotherapy, 53 minutes with patient 1,295 746 $72K
90847 Family psychotherapy with the patient present, 50 minutes 850 589 $55K
Q3014 Telehealth originating site facility fee 4,908 3,361 $32K
90832 Psychotherapy, 30 minutes with patient 2,256 1,318 $31K
90792 Psychiatric diagnostic evaluation with medical services 2,804 2,090 $28K
90853 Group psychotherapy (other than of a multiple-family group) 4,004 985 $21K
90791 Psychiatric diagnostic evaluation 1,567 892 $10K
90846 Family psychotherapy without the patient present, 50 minutes 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 2,174 323 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes 413 184 $5K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 116 46 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 534 313 $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) 1,793 276 $2K
99232 Subsequent hospital care, per day, moderate complexity 130 64 $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) 1,319 240 $796.74
99233 Prolong inpt eval add15 m 71 71 $732.90
80061 Lipid panel 884 840 $631.36
97535 Self-care/home management training, each 15 minutes 84 43 $409.70
85025 Blood count; complete (CBC), automated, and automated differential WBC count 562 513 $273.71
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 186 130 $249.33
83036 Hemoglobin; glycosylated (A1C) 864 820 $235.24
84443 Thyroid stimulating hormone (TSH) 764 718 $201.60
36415 Collection of venous blood by venipuncture 1,155 949 $136.71
80053 Comprehensive metabolic panel 482 450 $126.72
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,007 927 $22.67
90785 23 14 $10.60
G0378 Hospital observation service, per hour 5,253 1,399 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,609 935 $0.00
99224 190 127 $0.00
86580 28 26 $0.00
99220 69 68 $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 16 12 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 922 634 $0.00
99225 526 309 $0.00
99226 136 134 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 46 30 $0.00