Physician
Mainehealth
Mainehealth was paid $3.94M by Medicaid between Jan 2018 and Dec 2023, across 37 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 34% of everything it billed.
33Billing provider infoMAINEHEALTH
SCARBOROUGH, ME 04074
SCARBOROUGH, ME 04074
33aNPI1881987675assigned 05/26/2011
33bProvider typeClinical Cardiac Electrophysiology Physician
28Total paid$3.94M
24GClaims75,857
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2023
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 | 9,803 | $274K | |
| 2019 | 10,600 | $337K | |
| 2020 | 10,072 | $500K | |
| 2021 | 15,323 | $906K | |
| 2022 | 16,756 | $974K | |
| 2023 | 13,303 | $946K |
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 | 34% | 24,651 | 22,938 | $1.35M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 26% | 4,709 | 4,552 | $1.04M |
| 93304 | 13% | 1,340 | 1,302 | $515K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 5.0% | 457 | 443 | $197K |
| 78431 | 4.6% | 227 | 225 | $182K | |
| 93296 | 3.1% | 8,806 | 8,213 | $123K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 2.8% | 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 | 2.6% | 427 | 416 | $104K |
| 93308 | 1.8% | 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 | 1.5% | 153 | 150 | $60K |
| 93017 | 1.2% | 1,669 | 1,621 | $47K | |
| 93225 | 1.1% | 1,046 | 952 | $42K |
25 more codes
| 78492 | <1% | 86 | $31K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 19,033 | $23K |
| 93242 | <1% | 751 | $14K | |
| 93246 | <1% | 356 | $8K | |
| 0296T | <1% | 228 | $7K | |
| 93280 | <1% | 419 | $3K | |
| 76376 | <1% | 2,076 | $3K | |
| 93351 | <1% | 12 | $3K | |
| 93293 | <1% | 343 | $3K | |
| 93356 | <1% | 1,749 | $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 | <1% | 62 | $1K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | <1% | 290 | $1K |
| 93299 | <1% | 99 | $974.68 | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 996 | $656.64 |
| 93226 | <1% | 125 | $565.81 | |
| 93283 | <1% | 33 | $356.58 | |
| Q3014 | Telehealth originating site facility fee | <1% | 27 | $338.39 |
| Q9957 | Injection, perflutren lipid microspheres, per ml | <1% | 804 | $254.40 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 368 | $243.50 |
| 93282 | <1% | 14 | $131.80 | |
| 93321 | <1% | 1,317 | $106.91 | |
| 93325 | <1% | 2,006 | $12.68 | |
| 93320 | 0% | 249 | $0.00 | |
| 76377 | 0% | 179 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 16 | $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 (SVP FINANCE/CFO)
Parent organizationMAINEHEALTH
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.