Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ME › Damariscotta › NPI 1912094806
Hospital

Mainehealth

Mainehealth was paid $2.62M by Medicaid between Jan 2018 and Dec 2024, across 250 billing codes. Its largest line is 99284, emergency room visit (serious) — 12% of everything it billed.

33Billing provider infoMAINEHEALTH
DAMARISCOTTA, ME 04543
33aNPI1912094806assigned 10/10/2006
33bProvider typeCritical Access Hospital
28Total paid$2.62M
24GClaims473,036
24DCodes billed250
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in Maine

Rank by total paid#5 of 14
Median peer was paid$1.76M
This provider vs. median1.5×

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 HUNTER, ROBERT controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
201846,745$377K
201953,175$401K
202053,471$282K
202179,463$322K
202280,145$343K
202383,236$462K
2024incomplete76,801$432K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 21,637 13,273 $326K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 11% 9,849 5,820 $281K
74177 Computed tomography, abdomen and pelvis; with contrast material 8.8% 2,356 2,196 $230K
G0378 Hospital observation service, per hour 4.6% 1,083 910 $120K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.2% 13,252 9,674 $111K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4.2% 8,811 7,488 $109K
70450 Computed tomography, head or brain; without contrast material 4.0% 1,992 1,865 $105K
71046 Radiologic examination, chest; 2 views 3.7% 5,382 4,987 $96K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3.2% 3,913 2,886 $83K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.6% 14,424 5,583 $69K
74176 Computed tomography, abdomen and pelvis; without contrast material 2.6% 745 713 $68K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.4% 12,287 9,147 $62K
238 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.1% 8,752 $55K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.8% 1,728 $47K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.8% 9,022 $46K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1.5% 3,826 $41K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.4% 317 $38K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.4% 2,982 $36K
96361 Intravenous infusion, hydration; each additional hour 1.3% 4,005 $35K
80053 Comprehensive metabolic panel 1.3% 25,487 $33K
99214 Doctor's office visit, returning patient (more involved) 1.2% 10,148 $30K
99213 Doctor's office visit, returning patient (routine) 1.1% 12,709 $29K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.1% 1,247 $28K
96375 Therapeutic injection; each additional sequential IV push 1.0% 4,354 $27K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 26,475 $23K
73564 <1% 1,515 $22K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 447 $22K
71250 <1% 297 $21K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,377 $19K
72125 Computed tomography, cervical spine; without contrast material <1% 439 $19K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 1,944 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 10,334 $18K
71045 Radiologic examination, chest; single view <1% 830 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 655 $14K
71275 Computed tomographic angiography, chest, with contrast material <1% 153 $13K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 1,657 $13K
84443 Thyroid stimulating hormone (TSH) <1% 7,397 $13K
73030 <1% 1,265 $11K
73502 <1% 773 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,151 $10K
97162 <1% 1,310 $10K
99204 Doctor's office visit, new patient (more involved) <1% 1,708 $10K
36415 Collection of venous blood by venipuncture <1% 23,753 $10K
80048 Basic metabolic panel (calcium, ionized) <1% 6,452 $9K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 251 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 2,655 $8K
99203 Doctor's office visit, new patient (routine) <1% 3,205 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 6,010 $7K
73630 <1% 829 $7K
97166 <1% 841 $7K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 66 $6K
96376 <1% 1,136 $6K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,168 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,952 $6K
73610 <1% 1,069 $5K
83880 <1% 1,907 $5K
20610 <1% 710 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 120 $4K
84484 <1% 5,357 $4K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 335 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,075 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 316 $4K
73130 <1% 443 $3K
83735 <1% 3,491 $3K
82607 <1% 1,792 $3K
73110 <1% 492 $3K
81001 <1% 5,280 $3K
97803 <1% 1,069 $3K
85027 <1% 2,960 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 7,391 $3K
82728 <1% 1,648 $3K
99215 Doctor's office visit, returning patient (complex) <1% 820 $3K
86140 <1% 4,412 $3K
87077 <1% 2,603 $2K
85610 <1% 5,289 $2K
97161 <1% 498 $2K
87186 <1% 2,236 $2K
82043 <1% 1,189 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 2,744 $2K
82746 <1% 1,143 $2K
84439 <1% 1,444 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 7,691 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 2,393 $2K
83550 <1% 1,471 $2K
80061 Lipid panel <1% 5,601 $2K
83540 <1% 1,548 $2K
83690 <1% 3,652 $2K
93971 <1% 44 $2K
87070 <1% 3,999 $2K
86618 <1% 1,842 $2K
83605 <1% 1,986 $2K
87040 <1% 2,019 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,442 $1K
82948 <1% 3,965 $1K
92134 <1% 361 $1K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 28 $1K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,022 $1K
85652 <1% 1,914 $1K
J2270 Injection, morphine sulfate, up to 10 mg <1% 951 $1K
87481 <1% 479 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 905 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 5,272 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,291 $995.79
81003 <1% 2,528 $991.18
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 114 $957.34
92133 <1% 387 $905.60
86803 <1% 1,511 $904.69
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,090 $870.04
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,090 $870.04
J7120 Ringers lactate infusion, up to 1000 cc <1% 162 $839.35
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 653 $805.16
86850 <1% 1,142 $779.80
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 980 $760.93
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 2,370 $743.47
70551 Magnetic resonance imaging, brain; without contrast material <1% 13 $733.13
73140 <1% 183 $713.28
93242 <1% 57 $708.66
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 300 $662.00
J1790 Injection, droperidol, up to 5 mg <1% 293 $622.62
87205 <1% 955 $621.20
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 92 $621.09
87469 <1% 612 $598.49
87468 <1% 612 $597.98
J0690 Injection, cefazolin sodium, 500 mg <1% 375 $594.17
72110 <1% 39 $576.09
96367 <1% 64 $555.41
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 65 $540.86
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 251 $522.06
87511 <1% 246 $521.63
99220 <1% 78 $504.77
83970 <1% 52 $503.24
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,681 $493.99
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,632 $487.71
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,883 $477.94
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 13 $471.56
85379 <1% 875 $460.90
99441 <1% 67 $447.70
86900 <1% 1,181 $435.44
72100 <1% 30 $435.40
86901 <1% 1,188 $431.44
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,512 $420.39
80306 <1% 988 $369.11
J2060 Injection, lorazepam, 2 mg <1% 496 $359.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,096 $354.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 169 $312.81
84100 <1% 312 $302.34
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 76 $259.88
92015 Determination of refractive state <1% 619 $251.35
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,375 $230.88
90715 <1% 190 $227.59
92083 <1% 49 $222.06
J1170 Injection, hydromorphone, up to 4 mg <1% 860 $216.22
81002 <1% 1,261 $207.16
85730 <1% 429 $197.28
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,090 $190.80
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 116 $187.84
85018 <1% 1,247 $178.56
88142 <1% 801 $175.79
97116 <1% 105 $169.78
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 291 $151.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 229 $149.51
99223 Prolong inpt eval add15 m <1% 72 $142.34
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,532 $137.03
94727 <1% 22 $127.27
81025 <1% 588 $124.77
00811 <1% 18 $123.14
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 42 $122.20
84703 <1% 2,417 $121.18
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 20 $116.21
82570 <1% 70 $112.43
J3370 Injection, vancomycin hcl, 500 mg <1% 21 $103.49
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 44 $103.41
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 184 $102.34
99222 Initial hospital care, per day, moderate complexity <1% 31 $100.48
99239 Hospital discharge day management, more than 30 minutes <1% 29 $91.53
99217 <1% 57 $89.25
86617 <1% 57 $84.81
82550 <1% 100 $84.08
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 34 $75.60
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 238 $75.17
87428 <1% 256 $74.58
17000 <1% 24 $72.99
J1644 Injection, heparin sodium, per 1000 units <1% 67 $68.31
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 1,593 $62.80
93244 <1% 27 $59.80
80305 <1% 3,414 $58.67
99232 Hospital visit by a doctor, follow-up day <1% 64 $58.33
77063 Screening digital breast tomosynthesis, bilateral <1% 1,492 $56.34
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 16 $56.16
84702 <1% 258 $54.50
87340 <1% 162 $51.17
84481 <1% 12 $45.60
87400 <1% 248 $43.97
76830 Ultrasound, transvaginal <1% 12 $42.81
99205 Prolong outpt/office vis <1% 14 $40.77
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 64 $40.27
86038 <1% 15 $29.15
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 56 $25.49
36416 <1% 19 $24.80
85014 <1% 41 $24.01
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 45 $23.44
86431 <1% 12 $19.68
82803 <1% 36 $19.61
83615 <1% 12 $18.42
86364 <1% 13 $15.62
87484 <1% 13 $15.12
G0008 Administration of influenza virus vaccine <1% 196 $13.67
80050 General health panel <1% 33 $8.50
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 100 $8.31
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 106 $8.05
85651 <1% 187 $8.03
86780 <1% 332 $6.76
82784 <1% 28 $6.68
84156 <1% 14 $6.67
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 44 $6.35
J1171 Injection, hydromorphone, 0.1 mg <1% 16 $5.02
90686 <1% 181 $4.59
99459 <1% 15 $3.42
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 232 $2.82
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 49 $1.08
84403 <1% 27 $0.26
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 812 $0.09
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 138 $0.01
0011A 0% 1,102 $0.00
0001A 0% 192 $0.00
0012A 0% 1,171 $0.00
91301 0% 1,329 $0.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 0% 13 $0.00
0064A 0% 363 $0.00
0072A 0% 181 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 0% 37 $0.00
86762 0% 14 $0.00
J3490 Unclassified drugs 0% 16 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 93 $0.00
83655 0% 784 $0.00
00812 0% 12 $0.00
80076 0% 43 $0.00
91300 0% 529 $0.00
87420 0% 81 $0.00
85007 0% 27 $0.00
59025 Fetal non-stress test 0% 81 $0.00
83037 0% 18 $0.00
0034A 0% 12 $0.00
0002A 0% 200 $0.00
84550 0% 19 $0.00
0004A 0% 163 $0.00
0071A 0% 180 $0.00
0054A 0% 20 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 0% 36 $0.00
82947 0% 12 $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 officialHUNTER, ROBERT (SENIOR VICE PRESIDENT - FINANCE)
Same official

Other billing entities under HUNTER, ROBERT

Full network →
ProviderLocationPaid
MainehealthRockport, ME$31.54M
MainehealthFarmington, ME$16.71M
MainehealthNorway, ME$10.00M
MainehealthNorway, ME$9.84M
MainehealthDamariscotta, ME$9.60M
MainehealthBelfast, ME$5.33M
MainehealthNorway, ME$5.06M
MainehealthLivermore Falls, ME$3.15M
MainehealthBoothbay Harbor, ME$2.90M
MainehealthFarmington, ME$2.36M
University PathologistsHouston, TX$1.35M
MainehealthFarmington, ME$435K
P R Hematology Oncology Group INCBayamon, PR$69K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.