Physician
Mainehealth
Mainehealth was paid $2.68M by Medicaid between Jan 2024 and Dec 2024, across 91 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoMAINEHEALTH
PORTLAND, ME 04101
PORTLAND, ME 04101
33aNPI1629761978assigned 06/01/2023
33bProvider typeInternal Medicine Physician
28Total paid$2.68M
24GClaims80,218
24DCodes billed91
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Maine
Rank by total paid#2 of 32
Median peer was paid$29K
This provider vs. median94×
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 | |
|---|---|---|---|
| 2024incomplete | 80,218 | $2.68M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 18,256 | 16,690 | $823K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 5,067 | 4,671 | $364K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 9,042 | 8,101 | $344K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.8% | 2,457 | 2,299 | $183K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.5% | 5,261 | 3,589 | $121K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.1% | 3,294 | 2,887 | $83K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.0% | 2,796 | 2,675 | $81K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 1,216 | 1,169 | $58K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.8% | 2,551 | 1,793 | $49K |
| 99205 | Prolong outpt/office vis | 1.6% | 446 | 425 | $43K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 1.4% | 561 | 533 | $39K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 622 | 377 | $37K |
79 more codes
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.4% | 649 | $37K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.3% | 814 | $34K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.2% | 327 | $31K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,076 | $26K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,000 | $22K |
| 76820 | <1% | 1,092 | $18K | |
| 96158 | <1% | 580 | $18K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 85 | $16K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 422 | $15K |
| 95251 | <1% | 1,163 | $15K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 31 | $14K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 463 | $14K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 278 | $13K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 113 | $11K |
| 59025 | Fetal non-stress test | <1% | 562 | $10K |
| 93304 | <1% | 446 | $10K | |
| 92567 | <1% | 1,424 | $10K | |
| 64642 | <1% | 216 | $9K | |
| 54161 | <1% | 69 | $9K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 78 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 128 | $7K |
| 92579 | <1% | 271 | $6K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,767 | $6K |
| 93000 | <1% | 976 | $6K | |
| 92557 | <1% | 318 | $6K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 140 | $6K |
| 93294 | <1% | 461 | $5K | |
| 97803 | <1% | 190 | $5K | |
| 93295 | <1% | 277 | $5K | |
| 98928 | <1% | 189 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 200 | $4K |
| 64643 | <1% | 123 | $4K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 59 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 63 | $4K |
| 20610 | <1% | 162 | $3K | |
| 76830 | Ultrasound, transvaginal | <1% | 140 | $3K |
| 96040 | <1% | 238 | $3K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 8,050 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 67 | $2K |
| 17311 | <1% | 15 | $2K | |
| 93325 | <1% | 994 | $2K | |
| 99459 | <1% | 133 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 503 | $2K |
| 76942 | <1% | 131 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 20 | $2K |
| 92550 | <1% | 156 | $2K | |
| 99451 | <1% | 66 | $1K | |
| 95782 | <1% | 15 | $1K | |
| 93321 | <1% | 272 | $1K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $1K |
| 90837 | Psychotherapy session, about an hour | <1% | 15 | $984.03 |
| 95874 | <1% | 195 | $959.95 | |
| 96159 | <1% | 65 | $912.09 | |
| 76536 | <1% | 63 | $886.06 | |
| 76376 | <1% | 234 | $873.75 | |
| 64615 | <1% | 14 | $709.29 | |
| 76506 | <1% | 31 | $656.58 | |
| 72170 | <1% | 129 | $633.11 | |
| 88342 | <1% | 30 | $614.59 | |
| 93356 | <1% | 123 | $613.49 | |
| 95886 | <1% | 18 | $582.35 | |
| 94010 | <1% | 115 | $579.22 | |
| 99221 | <1% | 13 | $554.90 | |
| 36902 | <1% | 16 | $543.01 | |
| 92504 | <1% | 124 | $506.45 | |
| 99442 | <1% | 12 | $496.00 | |
| 93308 | <1% | 33 | $437.84 | |
| 69220 | <1% | 14 | $388.63 | |
| 93320 | <1% | 28 | $316.68 | |
| 88312 | <1% | 19 | $311.48 | |
| 99401 | <1% | 20 | $293.57 | |
| 36416 | <1% | 158 | $245.70 | |
| 99152 | <1% | 58 | $228.48 | |
| 88304 | <1% | 13 | $116.16 | |
| 72082 | <1% | 16 | $112.75 | |
| 99024 | <1% | 13 | $100.52 | |
| 77080 | <1% | 15 | $78.20 | |
| 73562 | <1% | 15 | $64.92 | |
| T2022 | Case management, per month | 0% | 26 | $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)
Parent organizationMAINEHEALTH
| 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 | Falmouth, ME | $2.10M |
| Mainehealth | Portland, ME | $1.87M |
| Mainehealth | Cape Elizabeth, ME | $1.82M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.