Physician
Mainehealth
Mainehealth was paid $358K by Medicaid between Jan 2019 and Dec 2024, across 13 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 33% of everything it billed.
33Billing provider infoMAINEHEALTH
WISCASSET, ME 04578
WISCASSET, ME 04578
33aNPI1750861530assigned 08/21/2018
33bProvider typeObstetrics & Gynecology Physician
28Total paid$358K
24GClaims10,809
24DCodes billed13
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Maine
Rank by total paid#14 of 28
Median peer was paid$202K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2019 | 1,491 | $37K | |
| 2020 | 916 | $23K | |
| 2021 | 1,825 | $48K | |
| 2022 | 2,261 | $77K | |
| 2023 | 2,265 | $88K | |
| 2024incomplete | 2,051 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 33% | 3,098 | 1,685 | $118K |
| 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 | 26% | 1,739 | 1,599 | $94K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 2,386 | 2,208 | $91K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 10% | 717 | 520 | $37K |
| G0008 | Administration of influenza virus vaccine | 3.2% | 1,057 | 1,045 | $11K |
| 90686 | 1.2% | 875 | 863 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 593 | 526 | $715.48 |
| 90656 | <1% | 164 | 164 | $659.70 | |
| 0064A | <1% | 26 | 26 | $410.19 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $259.46 |
| 92133 | <1% | 16 | 15 | $131.48 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 113 | 110 | $123.72 |
1 more codes
| 92015 | Determination of refractive state | <1% | 13 | $6.22 |
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 (SENIOR VICE PRESIDENT FINANCE & CFO)
| 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.