Hospital
Mainehealth
Mainehealth was paid $1.40M by Medicaid between Jan 2019 and Dec 2024, across 39 billing codes. Its largest line is 99284, emergency room visit (serious) — 33% of everything it billed.
33Billing provider infoMAINEHEALTH
FARMINGTON, ME 04938
FARMINGTON, ME 04938
33aNPI1609356419assigned 08/21/2018
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.40M
24GClaims41,379
24DCodes billed39
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Maine
Rank by total paid#24 of 33
Median peer was paid$4.34M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 15,623 | $444K | |
| 2020 | 4,117 | $94K | |
| 2021 | 4,469 | $116K | |
| 2022 | 7,022 | $241K | |
| 2023 | 6,146 | $337K | |
| 2024incomplete | 4,002 | $170K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 33% | 6,783 | 6,584 | $458K |
| 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 | 16% | 6,755 | 6,221 | $231K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 8,751 | 8,003 | $205K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 12% | 1,766 | 1,723 | $164K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.4% | 3,516 | 3,401 | $132K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 809 | 741 | $44K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.1% | 1,846 | 1,770 | $43K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.2% | 6,578 | 5,903 | $31K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 1,462 | 670 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 311 | 282 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 284 | 265 | $15K |
| 52000 | <1% | 154 | 149 | $4K |
27 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 142 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 155 | $4K |
| 90837 | Psychotherapy session, about an hour | <1% | 113 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 63 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 101 | $2K |
| 11721 | <1% | 274 | $2K | |
| 51798 | <1% | 460 | $1K | |
| 94060 | <1% | 181 | $1K | |
| 96127 | <1% | 266 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $911.61 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 18 | $732.08 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $700.44 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $683.04 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $665.64 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 61 | $507.88 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 15 | $424.44 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 15 | $394.68 |
| 20610 | <1% | 13 | $308.79 | |
| 99442 | <1% | 26 | $290.83 | |
| 51741 | <1% | 88 | $211.83 | |
| 93016 | <1% | 15 | $202.15 | |
| 96161 | <1% | 75 | $149.93 | |
| 81003 | <1% | 132 | $69.44 | |
| 94726 | <1% | 12 | $51.76 | |
| 96160 | <1% | 17 | $46.23 | |
| 94729 | <1% | 12 | $38.32 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 60 | $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 (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.