Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1609356419 · FARMINGTON, ME 04938 · General Acute Care Hospital · NPI assigned 08/21/2018

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

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

$1.40M
Total Medicaid Paid
41,379
Total Claims
37,857
Beneficiaries
39
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (ASSOCIATE CFO)
NPI Enumeration Date08/21/2018

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
2019 15,623 $444K
2020 4,117 $94K
2021 4,469 $116K
2022 7,022 $241K
2023 6,146 $337K
2024 4,002 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 6,783 6,584 $458K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,755 6,221 $231K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,751 8,003 $205K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,766 1,723 $164K
99283 Emergency department visit for the evaluation and management, moderate severity 3,516 3,401 $132K
99215 Prolong outpt/office vis 809 741 $44K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,846 1,770 $43K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,578 5,903 $31K
99232 Subsequent hospital care, per day, moderate complexity 1,462 670 $30K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 311 282 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 284 265 $15K
52000 154 149 $4K
99239 Hospital discharge day management, more than 30 minutes 142 131 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 155 142 $4K
90837 Psychotherapy, 53 minutes with patient 113 86 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 63 63 $4K
99233 Prolong inpt eval add15 m 101 38 $2K
11721 274 244 $2K
51798 460 431 $1K
94060 181 177 $1K
96127 266 258 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $911.61
99222 Initial hospital care, per day, moderate complexity 18 18 $732.08
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $700.44
90791 Psychiatric diagnostic evaluation 12 12 $683.04
99238 Hospital discharge day management, 30 minutes or less 12 12 $665.64
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 61 57 $507.88
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15 15 $424.44
90834 Psychotherapy, 45 minutes with patient 15 13 $394.68
20610 13 13 $308.79
99442 26 26 $290.83
51741 88 85 $211.83
93016 15 15 $202.15
96161 75 64 $149.93
81003 132 125 $69.44
94726 12 12 $51.76
96160 17 12 $46.23
94729 12 12 $38.32
90472 Immunization administration, each additional vaccine (list separately) 60 60 $0.00