Mainehealth
Mainehealth was paid $1.59M by Medicaid between Jan 2018 and Dec 2023, across 15 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 66% of everything it billed.
33Billing provider infoMAINEHEALTH
PORTLAND, ME 04103
PORTLAND, ME 04103
33aNPI1649577768assigned 02/25/2011
33bProvider typeAudiologist
28Total paid$1.59M
24GClaims28,586
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2023
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 | 4,338 | $227K | |
| 2019 | 6,922 | $234K | |
| 2020 | 3,120 | $173K | |
| 2021 | 4,128 | $257K | |
| 2022 | 4,762 | $325K | |
| 2023 | 5,316 | $378K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 66% | 16,323 | 14,565 | $1.05M |
| 92587 | 14% | 1,153 | 1,081 | $218K | |
| 31575 | 8.7% | 1,656 | 1,543 | $139K | |
| 92579 | 4.1% | 1,456 | 1,398 | $66K | |
| 92557 | 3.3% | 1,654 | 1,515 | $53K | |
| 92585 | 2.1% | 200 | 185 | $33K | |
| 31231 | 1.1% | 175 | 161 | $17K | |
| 69210 | <1% | 706 | 690 | $9K | |
| 92567 | <1% | 4,478 | 4,172 | $6K | |
| 92552 | <1% | 293 | 262 | $5K | |
| 92550 | <1% | 52 | 50 | $566.15 | |
| Q3014 | Telehealth originating site facility fee | <1% | 47 | 46 | $523.51 |
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 | 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.