Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ME › Farmington › NPI 1922791417
Hospital

Mainehealth

Mainehealth was paid $435K by Medicaid between Jul 2024 and Dec 2024, across 210 billing codes. Its largest line is A0425, Ground mileage, per statute mile — 7.3% of everything it billed.

33Billing provider infoMAINEHEALTH
FARMINGTON, ME 04938
33aNPI1922791417assigned 05/31/2023
33bProvider typeCritical Access Hospital
28Total paid$435K
24GClaims59,002
24DCodes billed210
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in Maine

Rank by total paid#12 of 14
Median peer was paid$1.76M
This provider vs. median0.2×

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$50K$100K$150K2018201920202021202220232024
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
2024incomplete59,002$435K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A0425 Ground mileage, per statute mile 7.3% 2,217 1,842 $32K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.9% 3,445 2,313 $30K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 6.5% 1,204 1,057 $28K
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 5.9% 545 478 $26K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.9% 450 426 $21K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.8% 1,448 950 $21K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.0% 192 146 $13K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.7% 1,356 1,061 $12K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2.7% 683 635 $12K
70450 Computed tomography, head or brain; without contrast material 2.6% 262 243 $12K
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 2.5% 266 234 $11K
96361 Intravenous infusion, hydration; each additional hour 2.3% 550 477 $10K
198 more codes
71260 Computed tomography, thorax, diagnostic; with contrast material 2.2% 115 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.2% 1,625 $9K
G0378 Hospital observation service, per hour 2.2% 112 $9K
71250 2.1% 108 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.9% 183 $8K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.7% 528 $8K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.6% 171 $7K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.4% 118 $6K
72125 Computed tomography, cervical spine; without contrast material 1.4% 118 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.3% 1,134 $6K
71275 Computed tomographic angiography, chest, with contrast material 1.3% 81 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.2% 596 $5K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.2% 542 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.2% 820 $5K
80053 Comprehensive metabolic panel 1.2% 3,196 $5K
71046 Radiologic examination, chest; 2 views 1.1% 579 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.1% 98 $5K
A0434 Specialty care transport (sct) <1% 82 $4K
96375 Therapeutic injection; each additional sequential IV push <1% 529 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 39 $4K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 104 $3K
73564 <1% 174 $3K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) <1% 103 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 244 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 225 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 282 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,035 $3K
93017 <1% 45 $2K
73030 <1% 164 $2K
73502 <1% 124 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 98 $2K
71045 Radiologic examination, chest; single view <1% 265 $2K
84443 Thyroid stimulating hormone (TSH) <1% 1,049 $2K
76770 <1% 60 $2K
97161 <1% 177 $1K
73610 <1% 143 $1K
99214 Doctor's office visit, returning patient (more involved) <1% 218 $1K
73630 <1% 173 $1K
70496 <1% 16 $1K
94726 <1% 129 $1K
76830 Ultrasound, transvaginal <1% 84 $1K
70498 <1% 15 $1K
97162 <1% 133 $1K
94729 <1% 148 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 496 $1K
96367 <1% 31 $1K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 30 $1K
76536 <1% 30 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 406 $1K
80048 Basic metabolic panel (calcium, ionized) <1% 712 $1K
76642 <1% 46 $980.68
84484 <1% 805 $977.10
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 117 $935.96
73562 <1% 72 $930.46
83036 Hemoglobin; glycosylated (A1C) <1% 1,027 $906.69
80061 Lipid panel <1% 1,022 $879.32
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 22 $855.60
72100 <1% 64 $829.35
83880 <1% 143 $825.56
83735 <1% 887 $780.87
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 190 $754.83
87481 <1% 384 $701.14
70551 Magnetic resonance imaging, brain; without contrast material <1% 12 $692.29
73130 <1% 115 $680.22
36415 Collection of venous blood by venipuncture <1% 2,347 $659.99
83970 <1% 115 $634.19
87086 Culture, bacterial; quantitative colony count, urine <1% 698 $628.07
96376 <1% 102 $612.86
94060 <1% 54 $589.42
73110 <1% 116 $581.82
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 358 $555.91
J2785 Injection, regadenoson, 0.1 mg <1% 12 $544.35
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 13 $533.66
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 37 $491.90
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 22 $486.91
82607 <1% 260 $482.66
84153 <1% 100 $434.76
87468 <1% 123 $430.31
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 12 $399.98
82728 <1% 292 $398.77
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 129 $365.25
73080 <1% 35 $363.14
83605 <1% 322 $347.16
87469 <1% 123 $344.50
82746 <1% 191 $338.64
87186 <1% 226 $319.52
87077 <1% 300 $309.66
93971 <1% 29 $290.48
81001 <1% 901 $288.49
87511 <1% 192 $277.60
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 26 $272.20
96368 <1% 19 $264.36
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 161 $255.78
94010 <1% 41 $251.30
82043 <1% 237 $248.90
83690 <1% 449 $244.44
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 193 $201.32
J2704 Injection, propofol, 10 mg <1% 301 $199.28
85610 <1% 435 $198.40
86140 <1% 385 $190.02
83550 <1% 258 $186.23
85027 <1% 396 $183.93
93976 <1% 12 $181.52
84100 <1% 160 $178.70
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% 250 $167.89
J3475 Injection, magnesium sulfate, per 500 mg <1% 84 $163.25
82948 <1% 359 $148.78
J0690 Injection, cefazolin sodium, 500 mg <1% 93 $146.06
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 234 $139.85
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 175 $139.19
83540 <1% 272 $137.54
86618 <1% 137 $128.65
82550 <1% 113 $114.61
82805 <1% 107 $113.07
73140 <1% 15 $110.32
71271 <1% 30 $108.04
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 15 $102.71
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 113 $100.15
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 594 $93.34
84439 <1% 188 $91.36
88112 <1% 13 $87.78
86850 <1% 191 $85.55
86803 <1% 170 $82.71
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 114 $82.34
80306 <1% 275 $78.51
82784 <1% 40 $76.83
99222 Initial hospital care, per day, moderate complexity <1% 40 $72.49
81003 <1% 413 $71.58
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 71 $67.14
85379 <1% 158 $65.08
87070 <1% 267 $64.71
85652 <1% 241 $58.93
86038 <1% 40 $55.66
86334 <1% 27 $53.86
80069 <1% 35 $53.54
J1790 Injection, droperidol, up to 5 mg <1% 83 $48.37
84550 <1% 47 $40.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 425 $39.08
86200 <1% 12 $36.26
93018 <1% 27 $36.11
90715 <1% 31 $35.74
86900 <1% 188 $32.41
87040 <1% 112 $29.53
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 304 $29.22
83921 <1% 12 $27.16
84165 <1% 27 $26.72
82570 <1% 55 $24.28
86431 <1% 26 $23.54
87340 <1% 90 $21.63
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 183 $18.89
86901 <1% 190 $17.95
85730 <1% 118 $16.40
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 15 $16.21
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 138 $15.88
J1170 Injection, hydromorphone, up to 4 mg <1% 71 $14.70
85018 <1% 205 $14.60
84403 <1% 40 $12.96
J2270 Injection, morphine sulfate, up to 10 mg <1% 94 $12.83
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 304 $12.53
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 315 $11.97
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 112 $11.05
84703 <1% 349 $9.42
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 94 $9.19
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% 150 $8.60
73590 <1% 14 $8.55
J3010 Injection, fentanyl citrate, 0.1 mg <1% 179 $8.02
J2060 Injection, lorazepam, 2 mg <1% 97 $7.92
87205 <1% 45 $7.40
84156 <1% 31 $7.29
86706 <1% 14 $6.51
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 122 $5.92
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 312 $5.42
85014 <1% 13 $4.10
80305 <1% 293 $2.90
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 14 $2.90
81002 <1% 83 $2.64
J3490 Unclassified drugs <1% 14 $1.79
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 15 $1.18
86780 <1% 143 $0.99
J1171 Injection, hydromorphone, 0.1 mg <1% 17 $0.68
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 19 $0.62
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 46 $0.33
87081 <1% 64 $0.30
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 24 $0.07
81025 0% 230 $0.00
84702 0% 109 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 0% 253 $0.00
83655 0% 232 $0.00
87420 0% 12 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 0% 17 $0.00
77063 Screening digital breast tomosynthesis, bilateral 0% 253 $0.00
97802 0% 44 $0.00
76801 0% 16 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 0% 54 $0.00
86762 0% 41 $0.00
82950 0% 48 $0.00
76819 Fetal biophysical profile; without non-stress testing 0% 35 $0.00
84402 0% 15 $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
MainehealthDamariscotta, ME$2.62M
MainehealthFarmington, ME$2.36M
University PathologistsHouston, TX$1.35M
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.