Clinic
Mainehealth
Mainehealth was paid $2.77M by Medicaid between Dec 2020 and Dec 2024, across 73 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoMAINEHEALTH
BRUNSWICK, ME 04011
BRUNSWICK, ME 04011
33aNPI1902422561assigned 06/19/2020
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.77M
24GClaims90,789
24DCodes billed73
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Maine
Rank by total paid#1 of 8
Median peer was paid$225K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2020 | 55 | $0.00 | |
| 2021 | 17,711 | $414K | |
| 2022 | 21,148 | $651K | |
| 2023 | 23,965 | $852K | |
| 2024incomplete | 27,910 | $857K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 30,343 | 28,467 | $1.28M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 28,071 | 24,764 | $972K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 2,494 | 741 | $82K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 11,716 | 10,094 | $45K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 864 | 830 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 2,164 | 1,483 | $40K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 459 | 448 | $33K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 723 | 704 | $31K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 892 | 573 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 556 | 553 | $29K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 409 | 385 | $28K |
| 99307 | <1% | 1,900 | 827 | $17K |
61 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 238 | $14K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 259 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 225 | $12K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 330 | $11K |
| 99223 | Prolong inpt eval add15 m | <1% | 148 | $10K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 215 | $8K |
| 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% | 138 | $8K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 303 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 259 | $6K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 332 | $6K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 83 | $6K |
| 64615 | <1% | 134 | $5K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 323 | $5K |
| 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% | 4,390 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 64 | $4K |
| 92551 | <1% | 346 | $3K | |
| 99285 | Emergency room visit (most serious) | <1% | 35 | $3K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 12 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 39 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 52 | $2K |
| 91320 | <1% | 54 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 38 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 33 | $1K |
| 99218 | <1% | 49 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $753.48 |
| 31575 | <1% | 27 | $736.40 | |
| 99173 | <1% | 179 | $706.51 | |
| 92567 | <1% | 109 | $682.21 | |
| G0400 | Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels | <1% | 15 | $641.88 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 19 | $617.61 |
| 90480 | <1% | 54 | $469.32 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $431.90 |
| 99348 | <1% | 24 | $351.93 | |
| 64405 | <1% | 15 | $348.91 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $340.39 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 12 | $291.31 |
| 64450 | <1% | 15 | $263.14 | |
| 92557 | <1% | 14 | $239.91 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $197.98 |
| 99459 | <1% | 14 | $162.17 | |
| 92134 | <1% | 27 | $144.32 | |
| 92504 | <1% | 29 | $124.50 | |
| 73600 | <1% | 24 | $117.63 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $91.52 |
| 76376 | <1% | 14 | $89.56 | |
| 99152 | <1% | 14 | $76.95 | |
| 77080 | <1% | 14 | $51.70 | |
| 92015 | Determination of refractive state | <1% | 13 | $37.31 |
| 0004A | <1% | 190 | $36.98 | |
| 90686 | <1% | 38 | $27.80 | |
| 86580 | <1% | 18 | $4.31 | |
| G0008 | Administration of influenza virus vaccine | 0% | 37 | $0.00 |
| 91307 | 0% | 273 | $0.00 | |
| 91305 | 0% | 36 | $0.00 | |
| 0072A | 0% | 215 | $0.00 | |
| 0124A | 0% | 88 | $0.00 | |
| 91312 | 0% | 55 | $0.00 | |
| 0054A | 0% | 40 | $0.00 | |
| 0071A | 0% | 229 | $0.00 | |
| 91300 | 0% | 166 | $0.00 | |
| 91308 | 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 (CFO & MH ASSOCIATE 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 | 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.