Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1639194509 · PORTLAND, ME 04101 · Clinical Social Worker · NPI assigned 07/13/2006

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

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

$396K
Total Medicaid Paid
15,384
Total Claims
14,147
Beneficiaries
11
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/13/2006

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 6,716 $166K
2019 7,627 $195K
2020 1,041 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,208 6,764 $223K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,868 6,392 $160K
99232 Subsequent hospital care, per day, moderate complexity 218 84 $6K
90853 Group psychotherapy (other than of a multiple-family group) 153 93 $3K
98925 190 162 $2K
90832 Psychotherapy, 30 minutes with patient 51 42 $977.38
99238 Hospital discharge day management, 30 minutes or less 27 27 $769.72
90791 Psychiatric diagnostic evaluation 16 13 $569.20
G0463 Hospital outpatient clinic visit for assessment and management of a patient 34 31 $346.70
93793 47 30 $97.38
97810 572 509 $0.00