Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1730467838 · FALMOUTH, ME 04105 · General Acute Care Hospital · NPI assigned 07/25/2011

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

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

$2.10M
Total Medicaid Paid
53,113
Total Claims
34,541
Beneficiaries
25
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (ASSOCIATE CFO)
Parent OrganizationMAINEHEALTH
NPI Enumeration Date07/25/2011

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 PORTLAND ME $1.87M
MAINEHEALTH CAPE ELIZABETH ME $1.82M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,744 $224K
2019 6,391 $272K
2020 5,159 $256K
2021 9,749 $434K
2022 13,887 $553K
2023 13,183 $359K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 22,845 19,670 $1.46M
20610 2,266 1,875 $226K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,380 3,645 $159K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,980 2,980 $90K
20611 270 237 $36K
97161 802 757 $35K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 177 175 $31K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,786 660 $27K
29405 48 40 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes 442 225 $6K
20550 33 26 $5K
73221 24 24 $4K
73030 939 851 $4K
98928 658 594 $1K
97165 29 26 $1K
97016 151 58 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 2,428 2,207 $782.40
73564 42 41 $333.45
73562 114 111 $315.50
98927 14 12 $68.85
73502 15 14 $32.07
73140 15 13 $0.00
97010 619 269 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 14 14 $0.00
72170 22 17 $0.00