Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1962573337 · WALDOBORO, ME 04572 · Family Medicine Physician · NPI assigned 11/10/2006

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

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

$3.43M
Total Medicaid Paid
35,240
Total Claims
30,347
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (ASSOCIATE CFO, MAINEHEALTH)
Parent OrganizationMAINEHEALTH
NPI Enumeration Date11/10/2006

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 SCARBOROUGH ME $3.18M
MAINEHEALTH BRUNSWICK ME $2.77M
MAINEHEALTH PORTLAND ME $2.68M
MAINEHEALTH FALMOUTH ME $2.10M
MAINEHEALTH PORTLAND ME $1.87M
MAINEHEALTH CAPE ELIZABETH ME $1.82M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,497 $300K
2019 5,479 $393K
2020 5,018 $548K
2021 5,661 $585K
2022 5,155 $551K
2023 4,999 $528K
2024 4,431 $524K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,982 11,090 $3.12M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,610 5,255 $117K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,856 6,225 $99K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 231 181 $19K
90832 Psychotherapy, 30 minutes with patient 1,438 1,107 $18K
90834 Psychotherapy, 45 minutes with patient 1,606 1,106 $16K
99215 Prolong outpt/office vis 696 677 $14K
G0008 Administration of influenza virus vaccine 926 918 $9K
90686 925 918 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 157 137 $3K
36415 Collection of venous blood by venipuncture 1,838 1,782 $2K
90656 19 19 $2K
0134A 53 53 $2K
90480 45 41 $1K
0064A 33 33 $400.12
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 48 46 $369.68
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) 68 65 $354.65
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 73 69 $239.69
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 386 381 $228.24
90688 18 18 $119.27
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $57.98
90715 32 29 $28.20
90472 Immunization administration, each additional vaccine (list separately) 59 59 $17.56
99442 92 89 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $0.00
99441 13 13 $0.00