Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1790265502 · WESTBROOK, ME 04092 · Psychiatric Hospital · NPI assigned 08/21/2018

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

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

$547K
Total Medicaid Paid
13,281
Total Claims
10,218
Beneficiaries
18
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (SVP FINANCE, CFO)
NPI Enumeration Date08/21/2018

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 FALMOUTH ME $2.10M
MAINEHEALTH PORTLAND ME $1.87M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 269 $1K
2020 407 $2K
2021 853 $34K
2022 1,928 $86K
2023 3,485 $158K
2024 6,339 $266K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 4,309 3,984 $272K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,909 1,645 $89K
90834 Psychotherapy, 45 minutes with patient 1,358 796 $51K
90847 Family psychotherapy with the patient present, 50 minutes 639 414 $27K
99233 Prolong inpt eval add15 m 497 411 $24K
99232 Subsequent hospital care, per day, moderate complexity 825 367 $17K
90846 Family psychotherapy without the patient present, 50 minutes 369 235 $13K
90832 Psychotherapy, 30 minutes with patient 473 346 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,354 693 $9K
90837 Psychotherapy, 53 minutes with patient 210 101 $9K
90791 Psychiatric diagnostic evaluation 83 82 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 154 143 $6K
99223 Prolong inpt eval add15 m 69 54 $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) 85 78 $2K
96127 858 832 $2K
90792 Psychiatric diagnostic evaluation with medical services 13 12 $1K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 35 12 $315.00
90853 Group psychotherapy (other than of a multiple-family group) 41 13 $143.99