Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1619281698 · CAPE ELIZABETH, ME 04107 · General Acute Care Hospital · NPI assigned 08/02/2010

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

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

$1.82M
Total Medicaid Paid
52,576
Total Claims
49,090
Beneficiaries
43
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (SVP FINANCE/CFO)
Parent OrganizationMAINE MEDICAL CENTER
NPI Enumeration Date08/02/2010

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 6,520 $231K
2019 7,152 $236K
2020 5,955 $214K
2021 18,402 $450K
2022 8,158 $342K
2023 6,389 $348K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 24,579 22,024 $1.44M
0002A 3,376 3,375 $69K
0001A 3,468 3,466 $65K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 940 875 $52K
G0008 Administration of influenza virus vaccine 2,660 2,633 $50K
90832 Psychotherapy, 30 minutes with patient 368 279 $32K
90686 2,096 2,073 $27K
90677 148 147 $27K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 288 264 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 600 572 $8K
G0009 Administration of pneumococcal vaccine 364 361 $6K
0124A 366 357 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 173 156 $4K
90662 448 445 $3K
Q3014 Telehealth originating site facility fee 227 180 $3K
90791 Psychiatric diagnostic evaluation 26 26 $3K
90732 72 69 $2K
0054A 163 163 $2K
80305 1,308 1,197 $2K
90853 Group psychotherapy (other than of a multiple-family group) 27 19 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 299 295 $1K
0031A 58 57 $1K
83036 Hemoglobin; glycosylated (A1C) 868 857 $697.87
80061 Lipid panel 82 78 $578.47
80053 Comprehensive metabolic panel 194 188 $287.14
91320 83 82 $262.20
82043 63 63 $220.88
84443 Thyroid stimulating hormone (TSH) 79 77 $204.82
83037 1,645 1,623 $193.07
85025 Blood count; complete (CBC), automated, and automated differential WBC count 165 158 $155.40
80048 Basic metabolic panel (calcium, ionized) 70 64 $93.14
90480 83 82 $70.66
0004A 222 220 $67.80
36415 Collection of venous blood by venipuncture 212 200 $62.92
87086 Culture, bacterial; quantitative colony count, urine 12 12 $16.50
81002 77 74 $2.62
91300 3,769 3,428 $0.00
91312 167 159 $0.00
90715 103 100 $0.00
36416 2,502 2,466 $0.00
91305 79 79 $0.00
91303 35 35 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 12 12 $0.00