Mainehealth

Mainehealth was paid $2.10M by Medicaid between Jan 2018 and Dec 2023, across 25 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 70% of everything it billed.

33Billing provider infoMAINEHEALTH
FALMOUTH, ME 04105

33aNPI1730467838assigned 07/25/2011

33bProvider typeGeneral Acute Care Hospital

28Total paid$2.10M

24GClaims53,113

24DCodes billed25

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other General Acute Care Hospital providers in Maine

Rank by total paid#20 of 33

Median peer was paid$4.34M

This provider vs. median0.5×

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

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	70%	22,845	19,670	$1.46M
20610		11%	2,266	1,875	$226K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	7.6%	10,380	3,645	$159K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	4.3%	8,980	2,980	$90K
20611		1.7%	270	237	$36K
97161		1.7%	802	757	$35K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	1.5%	177	175	$31K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	1.3%	1,786	660	$27K
29405		<1%	48	40	$9K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	442	225	$6K
20550		<1%	33	26	$5K
73221		<1%	24	24	$4K

13 more codes

73030		<1%	939	$4K
98928		<1%	658	$1K
97165		<1%	29	$1K
97016		<1%	151	$1K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	2,428	$782.40
73564		<1%	42	$333.45
73562		<1%	114	$315.50
98927		<1%	14	$68.85
73502		<1%	15	$32.07
73140		0%	15	$0.00
97010		0%	619	$0.00
J1040	Injection, methylprednisolone acetate, 80 mg	0%	14	$0.00
72170		0%	22	$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 (ASSOCIATE CFO)

Parent organizationMAINEHEALTH

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	Portland, ME	$1.87M
Mainehealth	Cape Elizabeth, ME	$1.82M

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