Mainehealth

Mainehealth was paid $396K by Medicaid between Jan 2018 and Feb 2020, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoMAINEHEALTH
PORTLAND, ME 04101

33aNPI1639194509assigned 07/13/2006

33bProvider typeClinical Social Worker

28Total paid$396K

24GClaims15,384

24DCodes billed11

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Clinical Social Worker providers in Maine

Rank by total paid#17 of 82

Median peer was paid$33K

This provider vs. median12×

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
2018	6,716	$166K
2019	7,627	$195K
2020	1,041	$34K

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	56%	7,208	6,764	$223K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	6,868	6,392	$160K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.5%	218	84	$6K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	153	93	$3K
98925		<1%	190	162	$2K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	51	42	$977.38
99238	Hospital discharge day management, 30 minutes or less	<1%	27	27	$769.72
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	16	13	$569.20
G0463	Hospital outpatient clinic visit for assessment and management of a patient	<1%	34	31	$346.70
93793		<1%	47	30	$97.38
97810		0%	572	509	$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 (CHIEF FINANCIAL OFFICER)

Same official

Other billing entities under INZANA, LUGENE

Full network →

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.