Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Mainehealth

Mainehealth was paid $70.83M by Medicaid between Jan 2018 and May 2024, across 582 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 29% of everything it billed.

33Billing provider infoMAINEHEALTH
BIDDEFORD, ME 04005
33aNPI1659392819assigned 07/22/2006
33bProvider typePharmacy
28Total paid$70.83M
24GClaims2,083,723
24DCodes billed582
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Pharmacy providers in Maine

Rank by total paid#1 of 16
Median peer was paid$46.59
This provider vs. median1,520,322×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018347,009$10.56M
2019323,908$10.33M
2020263,627$8.59M
2021332,369$11.60M
2022334,593$11.91M
2023333,379$12.23M
2024incomplete148,838$5.61M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 29% 288,588 230,254 $20.29M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 52,670 47,062 $9.43M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.5% 13,986 12,957 $3.89M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.0% 23,491 22,226 $2.86M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.4% 16,300 14,631 $1.72M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.8% 15,116 14,140 $1.28M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.5% 44,189 15,589 $1.07M
64493 1.5% 2,932 2,815 $1.06M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.2% 6,450 6,251 $881K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 18,150 17,745 $690K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 10,587 10,501 $646K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 6,182 4,205 $628K
570 more codes
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 6,489 $626K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 10,297 $619K
20610 <1% 5,558 $611K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,822 $604K
G0008 Administration of influenza virus vaccine <1% 22,600 $604K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 9,496 $582K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,110 $577K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 6,557 $555K
96361 Intravenous infusion, hydration; each additional hour <1% 14,965 $538K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 1,665 $523K
70450 Computed tomography, head or brain; without contrast material <1% 6,930 $519K
71046 Radiologic examination, chest; 2 views <1% 14,769 $517K
99213 Doctor's office visit, returning patient (routine) <1% 20,676 $506K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 3,694 $505K
G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes <1% 4,491 $477K
99214 Doctor's office visit, returning patient (more involved) <1% 15,752 $444K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 978 $433K
90834 Psychotherapy session, about 45 minutes <1% 5,102 $432K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 7,082 $431K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 6,553 $406K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 5,598 $401K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 8,331 $369K
96375 Therapeutic injection; each additional sequential IV push <1% 10,996 $357K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 5,790 $343K
77067 Screening mammography, bilateral, including computer-aided detection <1% 6,404 $337K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 2,077 $333K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,388 $321K
64635 <1% 525 $318K
76819 Fetal biophysical profile; without non-stress testing <1% 3,270 $291K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 1,490 $289K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,077 $278K
90791 Psychiatric diagnostic evaluation <1% 3,642 $264K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,619 $261K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 845 $259K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 11,699 $235K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,039 $230K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 15,969 $229K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography <1% 969 $229K
76830 Ultrasound, transvaginal <1% 2,938 $227K
71045 Radiologic examination, chest; single view <1% 7,010 $220K
G0009 Administration of pneumococcal vaccine <1% 8,094 $214K
97161 <1% 5,046 $200K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,732 $198K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 912 $192K
70496 <1% 1,248 $191K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 24,051 $184K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg <1% 146 $180K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 209 $176K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,263 $170K
80061 Lipid panel <1% 24,801 $168K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 365 $166K
84443 Thyroid stimulating hormone (TSH) <1% 26,827 $162K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,781 $157K
94060 <1% 1,298 $157K
59025 Fetal non-stress test <1% 1,155 $156K
80053 Comprehensive metabolic panel <1% 71,556 $152K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 424 $147K
64490 <1% 348 $138K
77063 Screening digital breast tomosynthesis, bilateral <1% 6,187 $135K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,318 $134K
86900 <1% 4,011 $125K
71250 <1% 2,893 $124K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 9,673 $124K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision <1% 455 $122K
90686 <1% 20,938 $121K
90677 <1% 782 $117K
93971 <1% 2,393 $115K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 9,268 $115K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 9,259 $115K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 776 $111K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 8,899 $111K
76770 <1% 1,729 $105K
72141 <1% 716 $98K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,073 $96K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 73,627 $94K
10060 <1% 671 $84K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 4,839 $82K
90732 <1% 1,330 $78K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,749 $77K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 873 $76K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 165 $76K
J0401 Injection, aripiprazole (abilify maintena), 1 mg <1% 95 $76K
36415 Collection of venous blood by venipuncture <1% 84,464 $75K
97162 <1% 3,041 $74K
76642 <1% 1,632 $73K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,100 $73K
D0145 Oral evaluation for a patient under three years of age <1% 4,389 $72K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 5,810 $70K
76536 <1% 1,296 $69K
83036 Hemoglobin; glycosylated (A1C) <1% 23,214 $65K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 934 $62K
87481 <1% 10,605 $60K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 30,793 $55K
97165 <1% 1,650 $55K
97597 <1% 1,009 $54K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,838 $53K
29581 <1% 857 $53K
97803 <1% 1,691 $52K
62323 <1% 211 $52K
41899 Unlisted procedure, dentoalveolar structures <1% 24 $50K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,365 $49K
43235 <1% 160 $49K
77066 Tomosynthesis, mammo <1% 668 $48K
72100 <1% 2,051 $46K
80048 Basic metabolic panel (calcium, ionized) <1% 25,565 $46K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 5,146 $45K
74018 <1% 2,232 $45K
73221 <1% 324 $43K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 3,530 $42K
90651 <1% 3,685 $42K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,987 $42K
64721 <1% 52 $42K
0002A <1% 1,708 $39K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,547 $39K
77080 <1% 1,248 $39K
82607 <1% 7,420 $39K
76801 <1% 429 $38K
88142 <1% 3,298 $38K
C8928 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report <1% 120 $37K
73562 <1% 4,245 $36K
86780 <1% 3,131 $36K
64615 <1% 291 $35K
86003 <1% 909 $35K
82728 <1% 5,929 $33K
96127 <1% 4,238 $32K
0001A <1% 1,686 $32K
0011A <1% 1,257 $32K
90870 <1% 213 $32K
0012A <1% 1,230 $32K
20611 <1% 292 $32K
73030 <1% 4,645 $32K
77065 Tomosynthesis, mammo <1% 614 $32K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 3,755 $31K
93880 <1% 492 $31K
99495 <1% 726 $31K
73630 <1% 4,797 $31K
87511 <1% 5,397 $30K
86803 <1% 5,461 $30K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,332 $30K
97802 <1% 570 $30K
90670 <1% 5,983 $29K
99188 <1% 1,173 $29K
95811 <1% 55 $28K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 5,473 $28K
90847 Family psychotherapy with the patient present, 50 minutes <1% 255 $28K
G0010 Administration of hepatitis b vaccine <1% 869 $28K
85027 <1% 16,690 $28K
82746 <1% 5,591 $28K
73502 <1% 3,079 $27K
98929 <1% 2,334 $27K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 29 $26K
98928 <1% 2,845 $25K
93225 <1% 599 $25K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,407 $24K
D1206 Topical application of fluoride varnish <1% 4,022 $23K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 253 $23K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 859 $22K
71271 <1% 376 $22K
99203 Doctor's office visit, new patient (routine) <1% 704 $22K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 6,296 $21K
97166 <1% 1,296 $21K
93970 <1% 217 $21K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 106 $20K
83655 <1% 4,324 $20K
91320 <1% 607 $20K
87522 Neg quan hep c or qual rna <1% 856 $19K
17110 <1% 429 $19K
83550 <1% 5,674 $19K
85610 <1% 16,397 $19K
94010 <1% 352 $18K
84702 <1% 3,320 $18K
73130 <1% 2,847 $18K
74174 <1% 126 $18K
74183 <1% 111 $18K
87086 Culture, bacterial; quantitative colony count, urine <1% 18,377 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 4,751 $18K
73110 <1% 2,991 $18K
72125 Computed tomography, cervical spine; without contrast material <1% 3,045 $18K
83540 <1% 6,375 $17K
83970 <1% 1,145 $17K
73600 <1% 1,695 $17K
84439 <1% 4,177 $16K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 2,220 $16K
12001 <1% 1,020 $16K
0054A <1% 846 $16K
80076 <1% 4,663 $15K
97116 <1% 2,325 $15K
87070 <1% 11,148 $15K
97014 <1% 1,128 $15K
99232 Hospital visit by a doctor, follow-up day <1% 645 $14K
84403 <1% 1,003 $14K
93017 <1% 789 $14K
Q3014 Telehealth originating site facility fee <1% 967 $14K
73610 <1% 3,024 $14K
99204 Doctor's office visit, new patient (more involved) <1% 308 $14K
70486 <1% 412 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 982 $13K
94660 <1% 243 $13K
58300 <1% 385 $13K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 816 $12K
69209 <1% 1,326 $12K
83735 <1% 19,669 $12K
0124A <1% 1,091 $12K
73140 <1% 1,600 $12K
83880 <1% 4,575 $11K
95911 <1% 38 $11K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 339 $11K
87340 <1% 3,346 $11K
90480 <1% 1,030 $11K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 183 $11K
64495 <1% 2,311 $11K
64494 <1% 3,288 $11K
82784 <1% 1,798 $10K
86140 <1% 8,077 $10K
86618 <1% 2,164 $9K
58301 <1% 43 $9K
86480 <1% 202 $9K
97035 <1% 1,842 $9K
97163 <1% 299 $8K
86706 <1% 1,491 $8K
81511 <1% 133 $8K
76870 <1% 229 $8K
73560 <1% 1,002 $7K
92551 <1% 893 $7K
98927 <1% 1,324 $7K
29075 <1% 41 $7K
82950 <1% 1,525 $7K
73564 <1% 1,002 $7K
70491 <1% 59 $7K
59430 <1% 41 $7K
94726 <1% 291 $7K
87186 <1% 6,719 $6K
73080 <1% 917 $6K
86038 <1% 1,229 $6K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 943 $6K
83001 <1% 493 $6K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 1,414 $5K
84146 <1% 519 $5K
70498 <1% 1,239 $5K
83516 <1% 912 $5K
73590 <1% 607 $5K
85652 <1% 6,130 $5K
0071A <1% 616 $5K
86704 <1% 815 $5K
82043 <1% 3,780 $5K
87046 <1% 452 $5K
90662 <1% 1,548 $5K
99223 Prolong inpt eval add15 m <1% 97 $5K
82785 <1% 578 $5K
72040 <1% 277 $5K
90716 <1% 1,953 $5K
97535 Self-care/home management training, each 15 minutes <1% 983 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 6,492 $5K
84425 <1% 380 $4K
81025 <1% 3,994 $4K
82947 <1% 1,624 $4K
99173 <1% 1,703 $4K
64415 <1% 60 $4K
81001 <1% 15,805 $4K
72110 <1% 130 $4K
0052A <1% 144 $4K
87077 <1% 7,110 $4K
84153 <1% 690 $4K
96132 <1% 22 $4K
90734 <1% 2,386 $4K
86850 <1% 4,181 $4K
87493 <1% 448 $4K
0072A <1% 518 $4K
84402 <1% 247 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,520 $4K
83690 <1% 11,309 $3K
83721 <1% 1,006 $3K
82670 <1% 196 $3K
99239 Hospital discharge day management, more than 30 minutes <1% 121 $3K
90739 <1% 29 $3K
84100 <1% 2,704 $3K
11102 <1% 56 $3K
99403 <1% 63 $3K
99402 <1% 169 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 11,096 $3K
73100 <1% 478 $3K
86762 <1% 1,733 $3K
85018 <1% 4,994 $3K
90792 Psychiatric diagnostic evaluation with medical services <1% 50 $3K
71101 <1% 545 $3K
20550 <1% 26 $3K
88342 <1% 1,371 $3K
80164 <1% 665 $3K
86364 <1% 538 $3K
83993 <1% 199 $3K
G0378 Hospital observation service, per hour <1% 2,970 $3K
29405 <1% 20 $3K
0004A <1% 968 $3K
0051A <1% 104 $3K
81003 <1% 17,383 $3K
72070 <1% 87 $3K
80050 General health panel <1% 151 $2K
99385 <1% 39 $2K
99215 Doctor's office visit, returning patient (complex) <1% 69 $2K
93296 <1% 165 $2K
93308 <1% 27 $2K
87469 <1% 378 $2K
87468 <1% 377 $2K
0081A <1% 162 $2K
99496 <1% 82 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 996 $2K
82550 <1% 1,636 $2K
87427 <1% 458 $2K
84550 <1% 1,511 $2K
86481 <1% 64 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,547 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 7,747 $2K
82565 <1% 1,088 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12,935 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 101 $2K
11100 <1% 15 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 8,846 $2K
84703 <1% 2,477 $2K
0134A <1% 209 $2K
85730 <1% 1,997 $2K
87045 <1% 464 $2K
72131 <1% 81 $2K
0082A <1% 115 $2K
84165 <1% 596 $2K
87536 <1% 62 $2K
93976 <1% 20 $2K
86431 <1% 705 $2K
90619 <1% 903 $2K
90681 <1% 3,046 $2K
90715 <1% 6,778 $1K
80178 <1% 728 $1K
80074 <1% 111 $1K
99222 Initial hospital care, per day, moderate complexity <1% 38 $1K
87209 <1% 136 $1K
12011 <1% 80 $1K
72050 <1% 31 $1K
90744 <1% 3,876 $1K
80069 <1% 558 $1K
99397 <1% 92 $1K
20605 <1% 13 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 77 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 12,430 $1K
51798 <1% 208 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,132 $1K
0154A <1% 87 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 84 $1K
73090 <1% 178 $1K
93226 <1% 621 $1K
J2704 Injection, propofol, 10 mg <1% 12,214 $1K
52000 <1% 12 $985.85
11981 <1% 12 $975.90
82570 <1% 694 $973.39
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 66 $961.85
73070 <1% 84 $916.62
84460 <1% 293 $908.48
0031A <1% 26 $867.72
96160 <1% 37 $858.98
94664 <1% 134 $852.90
85379 <1% 3,380 $850.07
93922 <1% 36 $846.52
84156 <1% 781 $834.71
87205 <1% 2,578 $819.31
84484 <1% 16,083 $816.87
90710 <1% 1,890 $810.90
72170 <1% 40 $806.50
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,896 $791.09
80305 <1% 782 $778.70
0064A <1% 129 $777.51
Q9957 Injection, perflutren lipid microspheres, per ml <1% 2,606 $649.15
88304 <1% 671 $626.83
86682 <1% 63 $618.76
93246 <1% 115 $614.56
87177 <1% 117 $610.98
93923 <1% 12 $593.24
64636 <1% 687 $567.37
88112 <1% 57 $545.08
0083A <1% 49 $540.60
87040 <1% 2,839 $529.68
74022 <1% 146 $517.17
86787 <1% 48 $502.32
73521 <1% 25 $487.67
86580 <1% 44 $477.11
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 14 $476.15
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,787 $463.57
98926 <1% 160 $461.89
96367 <1% 12 $458.91
12002 <1% 75 $451.58
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) <1% 3,659 $447.09
94729 <1% 1,220 $439.19
83020 <1% 43 $437.58
87505 <1% 15 $423.31
84163 <1% 40 $421.40
82533 <1% 40 $404.00
99221 <1% 15 $403.80
84481 <1% 50 $398.44
87081 <1% 414 $394.68
G0176 Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) <1% 4,293 $366.40
83615 <1% 249 $356.04
80306 <1% 1,742 $345.23
86617 <1% 76 $344.26
82465 <1% 82 $340.65
83002 <1% 40 $334.40
J1790 Injection, droperidol, up to 5 mg <1% 1,517 $331.28
87210 <1% 1,057 $324.12
J1040 Injection, methylprednisolone acetate, 80 mg <1% 5,191 $323.18
87420 <1% 865 $321.70
83605 <1% 3,879 $311.44
73660 <1% 42 $304.62
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,415 $289.44
G0238 Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) <1% 18 $286.41
J0690 Injection, cefazolin sodium, 500 mg <1% 4,351 $284.05
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,191 $282.90
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 720 $276.85
73620 <1% 84 $263.28
82040 <1% 327 $255.91
81002 <1% 1,793 $255.82
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 15 $253.29
85007 <1% 824 $242.81
82105 <1% 27 $231.02
87338 <1% 26 $221.10
86308 <1% 316 $220.38
96376 <1% 3,409 $217.72
82805 <1% 627 $197.57
J1170 Injection, hydromorphone, up to 4 mg <1% 3,771 $194.50
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 893 $193.78
J1644 Injection, heparin sodium, per 1000 units <1% 3,278 $192.12
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 25 $189.78
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 3,106 $177.52
90688 <1% 14 $172.53
0074A <1% 54 $169.50
84450 <1% 79 $163.57
87529 <1% 30 $157.72
82103 <1% 43 $155.13
86360 <1% 38 $148.61
82150 <1% 99 $146.82
91322 <1% 128 $145.92
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 2,433 $142.77
82248 <1% 46 $141.83
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,145 $134.52
11721 <1% 12 $132.90
J3475 Injection, magnesium sulfate, per 500 mg <1% 2,087 $123.81
86359 <1% 38 $123.18
87634 <1% 63 $121.32
84520 <1% 148 $120.62
87207 <1% 20 $119.80
86334 <1% 17 $107.83
C1769 Guide wire <1% 707 $105.08
93270 <1% 12 $104.97
90472 Immunization administration, each additional vaccine (list separately) <1% 15,295 $101.14
83525 <1% 15 $92.44
86901 <1% 4,095 $91.47
93242 <1% 25 $88.53
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 1,174 $84.46
J1630 Injection, haloperidol, up to 5 mg <1% 1,612 $79.71
J1030 Injection, methylprednisolone acetate, 40 mg <1% 3,149 $78.81
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) <1% 421 $76.27
0003A <1% 28 $75.90
87484 <1% 69 $73.68
83521 <1% 14 $69.30
86765 <1% 15 $67.30
84155 <1% 101 $66.60
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,752 $66.01
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 25 $65.34
84466 <1% 12 $65.25
83010 <1% 13 $64.30
J3370 Injection, vancomycin hcl, 500 mg <1% 760 $57.20
85045 <1% 38 $56.99
86039 <1% 12 $56.05
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 242 $54.39
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 318 $52.13
80175 <1% 13 $49.64
69210 <1% 13 $45.18
88341 <1% 38 $43.79
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 996 $37.68
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 310 $37.65
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 348 $37.45
J0780 Injection, prochlorperazine, up to 10 mg <1% 624 $31.87
95886 <1% 766 $30.08
80177 <1% 15 $27.97
85014 <1% 80 $24.48
87807 <1% 59 $23.42
29125 <1% 26 $23.33
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 216 $22.55
80051 <1% 12 $21.51
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 23 $19.62
J1815 Injection, insulin, per 5 units <1% 2,375 $18.47
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,053 $16.16
C9290 Injection, bupivacaine liposome, 1 mg <1% 164 $15.28
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,171 $14.80
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,457 $14.73
83986 <1% 41 $14.24
J2060 Injection, lorazepam, 2 mg <1% 3,262 $12.26
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,924 $10.82
82272 <1% 16 $6.66
90474 <1% 3,133 $5.37
81000 <1% 249 $4.80
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 519 $4.14
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 27 $0.00
J2372 Injection, phenylephrine hydrochloride (biorphen), 20 micrograms 0% 392 $0.00
36416 0% 9,154 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 248 $0.00
90698 0% 6,798 $0.00
90696 0% 1,776 $0.00
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard 0% 428 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 233 $0.00
J3490 Unclassified drugs 0% 648 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 253 $0.00
V2632 Posterior chamber intraocular lens 0% 238 $0.00
93320 0% 284 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 132 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 134 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 150 $0.00
C9399 Unclassified drugs or biologicals 0% 195 $0.00
Q2039 Influenza virus vaccine, not otherwise specified 0% 85 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 125 $0.00
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 0% 82 $0.00
91307 0% 1,085 $0.00
64492 0% 159 $0.00
91305 0% 834 $0.00
91306 0% 30 $0.00
91315 0% 70 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 0% 118 $0.00
82803 0% 12 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 76 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 75 $0.00
99153 Mod sedat endo service >5yrs 0% 40 $0.00
90632 0% 25 $0.00
88307 0% 24 $0.00
91318 0% 35 $0.00
91301 0% 1,639 $0.00
96368 0% 25 $0.00
91317 0% 36 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 18 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 12 $0.00
91303 0% 25 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 2,658 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 265 $0.00
91308 0% 369 $0.00
91300 0% 2,413 $0.00
90633 0% 4,190 $0.00
91321 0% 211 $0.00
81329 0% 338 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 0% 325 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 234 $0.00
76942 0% 111 $0.00
90714 0% 64 $0.00
90707 0% 2,006 $0.00
82009 0% 216 $0.00
93325 0% 372 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 722 $0.00
90713 0% 144 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 213 $0.00
64491 0% 316 $0.00
36600 0% 12 $0.00
77002 0% 16 $0.00
C1776 Joint device (implantable) 0% 64 $0.00
90671 0% 1,254 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 612 $0.00
91313 0% 105 $0.00
91312 0% 684 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 670 $0.00
82375 0% 13 $0.00
82140 0% 15 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 22 $0.00
90685 0% 165 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 18 $0.00
94727 0% 13 $0.00
90672 0% 27 $0.00
87400 0% 42 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 0% 15 $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 (CFO & ASSOCIATE CFO)
Same official

Other billing entities under INZANA, LUGENE

Full network →
ProviderLocationPaid
MainehealthPortland, ME$142.72M
MainehealthPortland, ME$115.05M
MainehealthBrunswick, ME$40.06M
MainehealthFarmington, ME$22.62M
MainehealthBiddeford, ME$10.89M
MainehealthFalmouth, ME$6.54M
MainehealthPortland, ME$5.46M
MainehealthScarborough, ME$5.04M
MainehealthRockport, ME$4.34M
MainehealthScarborough, ME$4.16M
MainehealthPortland, ME$4.09M
MainehealthScarborough, ME$3.94M
MainehealthPortland, ME$3.55M
MainehealthWaldoboro, ME$3.43M
MainehealthScarborough, ME$3.18M
MainehealthBrunswick, ME$2.77M
MainehealthPortland, ME$2.68M
MainehealthFalmouth, ME$2.10M
MainehealthPortland, ME$1.87M
MainehealthCape Elizabeth, ME$1.82M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.