Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1912204033 · SCARBOROUGH, ME 04074 · General Acute Care Hospital · NPI assigned 02/25/2011

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

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

$520K
Total Medicaid Paid
13,435
Total Claims
10,115
Beneficiaries
20
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (ASSOCIATE CFO)
Parent OrganizationMAINE MEDICAL CENTER
NPI Enumeration Date02/25/2011

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 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
2018 1,654 $70K
2019 1,340 $57K
2020 2,027 $81K
2021 2,736 $101K
2022 2,793 $99K
2023 2,885 $112K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,200 4,250 $487K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 80 54 $13K
96409 31 24 $5K
96375 Therapeutic injection; each additional sequential IV push 132 73 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,488 1,932 $2K
80053 Comprehensive metabolic panel 1,895 1,398 $2K
G0008 Administration of influenza virus vaccine 56 56 $2K
96167 131 112 $1K
90686 56 56 $1K
Q3014 Telehealth originating site facility fee 32 32 $475.80
85045 414 390 $430.92
82728 64 64 $299.86
36415 Collection of venous blood by venipuncture 756 727 $57.89
83550 12 12 $26.22
83540 12 12 $19.41
J9370 Vincristine sulfate, 1 mg 13 12 $0.00
J7050 Infusion, normal saline solution, 250 cc 997 407 $0.00
36000 140 131 $0.00
J3490 Unclassified drugs 690 231 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 236 142 $0.00