Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1881987675 · SCARBOROUGH, ME 04074 · Clinical Cardiac Electrophysiology Physician · NPI assigned 05/26/2011

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

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

$3.94M
Total Medicaid Paid
75,857
Total Claims
71,867
Beneficiaries
37
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (SVP FINANCE/CFO)
Parent OrganizationMAINEHEALTH
NPI Enumeration Date05/26/2011

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 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
MAINEHEALTH CAPE ELIZABETH ME $1.82M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,803 $274K
2019 10,600 $337K
2020 10,072 $500K
2021 15,323 $906K
2022 16,756 $974K
2023 13,303 $946K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 24,651 22,938 $1.35M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,709 4,552 $1.04M
93304 1,340 1,302 $515K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 457 443 $197K
78431 227 225 $182K
93296 8,806 8,213 $123K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 280 275 $110K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 427 416 $104K
93308 454 443 $70K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision 153 150 $60K
93017 1,669 1,621 $47K
93225 1,046 952 $42K
78492 86 79 $31K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 19,033 18,163 $23K
93242 751 731 $14K
93246 356 349 $8K
0296T 228 207 $7K
93280 419 365 $3K
76376 2,076 2,044 $3K
93351 12 12 $3K
93293 343 306 $3K
93356 1,749 1,719 $2K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 62 61 $1K
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries 290 284 $1K
93299 99 81 $974.68
J2785 Injection, regadenoson, 0.1 mg 996 972 $656.64
93226 125 115 $565.81
93283 33 24 $356.58
Q3014 Telehealth originating site facility fee 27 27 $338.39
Q9957 Injection, perflutren lipid microspheres, per ml 804 790 $254.40
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 368 350 $243.50
93282 14 13 $131.80
93321 1,317 1,279 $106.91
93325 2,006 1,932 $12.68
93320 249 245 $0.00
76377 179 175 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 16 14 $0.00