Mainehealth

Mainehealth was paid $520K by Medicaid between Jan 2018 and Dec 2023, across 20 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 94% of everything it billed.

33Billing provider infoMAINEHEALTH
SCARBOROUGH, ME 04074

33aNPI1912204033assigned 02/25/2011

33bProvider typeGeneral Acute Care Hospital

28Total paid$520K

24GClaims13,435

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other General Acute Care Hospital providers in Maine

Rank by total paid#26 of 33

Median peer was paid$4.34M

This provider vs. median0.1×

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

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	94%	5,200	4,250	$487K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	2.6%	80	54	$13K
96409		1.0%	31	24	$5K
96375	Therapeutic injection; each additional sequential IV push	<1%	132	73	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	2,488	1,932	$2K
80053	Comprehensive metabolic panel	<1%	1,895	1,398	$2K
G0008	Administration of influenza virus vaccine	<1%	56	56	$2K
96167		<1%	131	112	$1K
90686		<1%	56	56	$1K
Q3014	Telehealth originating site facility fee	<1%	32	32	$475.80
85045		<1%	414	390	$430.92
82728		<1%	64	64	$299.86

8 more codes

36415	Collection of venous blood by venipuncture	<1%	756	$57.89
83550		<1%	12	$26.22
83540		<1%	12	$19.41
J9370	Vincristine sulfate, 1 mg	0%	13	$0.00
J7050	Infusion, normal saline solution, 250 cc	0%	997	$0.00
36000		0%	140	$0.00
J3490	Unclassified drugs	0%	690	$0.00
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	0%	236	$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 (ASSOCIATE CFO)

Parent organizationMAINE MEDICAL CENTER

Same official

Other billing entities under INZANA, LUGENE

Full network →

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	Brunswick, ME	$2.77M
Mainehealth	Portland, ME	$2.68M
Mainehealth	Falmouth, ME	$2.10M
Mainehealth	Portland, ME	$1.87M

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