Hospital
Mainehealth
Mainehealth was paid $547K by Medicaid between Jan 2019 and Dec 2024, across 18 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 50% of everything it billed.
33Billing provider infoMAINEHEALTH
WESTBROOK, ME 04092
WESTBROOK, ME 04092
33aNPI1790265502assigned 08/21/2018
33bProvider typePsychiatric Hospital
28Total paid$547K
24GClaims13,281
24DCodes billed18
24AFirst – last monthJan 2019 – Dec 2024
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 | 269 | $1K | |
| 2020 | 407 | $2K | |
| 2021 | 853 | $34K | |
| 2022 | 1,928 | $86K | |
| 2023 | 3,485 | $158K | |
| 2024incomplete | 6,339 | $266K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 50% | 4,309 | 3,984 | $272K |
| 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 | 16% | 1,909 | 1,645 | $89K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 9.2% | 1,358 | 796 | $51K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 5.0% | 639 | 414 | $27K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.3% | 497 | 411 | $24K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 825 | 367 | $17K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 2.4% | 369 | 235 | $13K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.2% | 473 | 346 | $12K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.7% | 1,354 | 693 | $9K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.7% | 210 | 101 | $9K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.1% | 83 | 82 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 154 | 143 | $6K |
6 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 69 | $5K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 85 | $2K |
| 96127 | <1% | 858 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $1K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 35 | $315.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 41 | $143.99 |
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 (SVP 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.