Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

MAINEHEALTH

General Acute Care Hospital·BIDDEFORD, ME·NPI: 1659392819Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $70.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-05(77 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$70.8M

$70,831,816

Total Claims

2.1M

Beneficiaries

1.8M

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$10.6M
-2%
2019
$10.3M
-17%
2020
$8.6M
+35%
2021
$11.6M
+3%
2022
$11.9M
+3%
2023
$12.2M
-54%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 29% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$20.3M

289K claims · 28.7%

Your Cost: $70.32/claim|Median: $26.41
2.7× median
99284Top 10%

Emergency dept visit, high complexity

$9.4M

53K claims · 13.3%

Your Cost: $178.99/claim|Median: $69.51
2.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$3.9M

14K claims · 5.5%

Your Cost: $278.05/claim|Median: $85.65
3.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.9M

23K claims · 4.0%

Your Cost: $121.83/claim|Median: $42.48
2.9× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.7M

16K claims · 2.4%

Your Cost: $105.70/claim|Median: $21.76
4.9× median
99282Normal range

Emergency dept visit, low complexity

$1.3M

15K claims · 1.8%

Your Cost: $84.63/claim|Median: $37.72
2.2× median
97110Normal range

Therapeutic exercises, each 15 min

$1.1M

44K claims · 1.5%

Your Cost: $24.32/claim|Median: $24.49
1.0× median
64493Top 25%

$1.1M

2,932 claims · 1.5%

Your Cost: $360.43/claim|Median: $103.44
3.5× median
74177Normal range

CT abdomen and pelvis with contrast

$881K

6,450 claims · 1.2%

Your Cost: $136.52/claim|Median: $65.76
2.1× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$690K

18K claims · 1.0%

Your Cost: $38.00/claim|Median: $9.80
3.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$646K

11K claims · 0.9%

Your Cost: $61.02/claim|Median: $75.18
0.8× median
90832Top 10%

Psychotherapy, 30 minutes

$628K

6,182 claims · 0.9%

Your Cost: $101.66/claim|Median: $41.28
2.5× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$626K

6,489 claims · 0.9%

Your Cost: $96.47/claim|Median: $61.57
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$619K

10K claims · 0.9%

Your Cost: $60.11/claim|Median: $69.35
0.9× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$611K

5,558 claims · 0.9%

Your Cost: $109.93/claim|Median: $29.03
3.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$604K

1,822 claims · 0.9%

Your Cost: $331.59/claim|Median: $151.68
2.2× median
G0008Top 5%

$604K

23K claims · 0.9%

Your Cost: $26.72/claim|Median: $2.54
10.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$582K

9,496 claims · 0.8%

Your Cost: $61.24/claim|Median: $74.82
0.8× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$577K

1,110 claims · 0.8%

Your Cost: $519.76/claim|Median: $255.17
2.0× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$555K

6,557 claims · 0.8%

Your Cost: $84.68/claim|Median: $54.77
1.5× median
96361Normal range

IV infusion, hydration, each additional hour

$538K

15K claims · 0.8%

Your Cost: $35.97/claim|Median: $38.92
0.9× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$523K

1,665 claims · 0.7%

Your Cost: $314.14/claim|Median: $470.36
0.7× median
70450Normal range

CT head/brain without contrast

$519K

6,930 claims · 0.7%

Your Cost: $74.86/claim|Median: $45.53
1.6× median
71046Top 10%

Chest X-ray, 2 views

$517K

15K claims · 0.7%

Your Cost: $35.03/claim|Median: $8.92
3.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$506K

21K claims · 0.7%

Your Cost: $24.48/claim|Median: $37.81
0.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$505K

3,694 claims · 0.7%

Your Cost: $136.78/claim|Median: $54.68
2.5× median
G0410Top 25%

$477K

4,491 claims · 0.7%

Your Cost: $106.19/claim|Median: $24.14
4.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$444K

16K claims · 0.6%

Your Cost: $28.18/claim|Median: $53.41
0.5× median
45380Top 25%

Colonoscopy with biopsy

$433K

978 claims · 0.6%

Your Cost: $442.25/claim|Median: $200.68
2.2× median
90834Top 25%

Psychotherapy, 45 minutes

$432K

5,102 claims · 0.6%

Your Cost: $84.65/claim|Median: $63.65
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$431K

7,082 claims · 0.6%

Your Cost: $60.81/claim|Median: $72.71
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$406K

6,553 claims · 0.6%

Your Cost: $62.02/claim|Median: $80.15
0.8× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$401K

5,598 claims · 0.6%

Your Cost: $71.58/claim|Median: $97.61
0.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$369K

8,331 claims · 0.5%

Your Cost: $44.32/claim|Median: $63.08
0.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$357K

11K claims · 0.5%

Your Cost: $32.48/claim|Median: $14.92
2.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$343K

5,790 claims · 0.5%

Your Cost: $59.27/claim|Median: $76.06
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$337K

6,404 claims · 0.5%

Your Cost: $52.62/claim|Median: $39.33
1.3× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$333K

2,077 claims · 0.5%

Your Cost: $160.40/claim|Median: $36.13
4.4× median
74176Normal range

CT abdomen and pelvis without contrast

$321K

3,388 claims · 0.5%

Your Cost: $94.77/claim|Median: $60.19
1.6× median
64635Top 10%

$318K

525 claims · 0.4%

Your Cost: $605.10/claim|Median: $207.78
2.9× median
76819Top 25%

Fetal biophysical profile with non-stress test

$291K

3,270 claims · 0.4%

Your Cost: $88.93/claim|Median: $49.45
1.8× median
C8929Normal range

$289K

1,490 claims · 0.4%

Your Cost: $193.73/claim|Median: $194.95
1.0× median
76705Top 25%

Ultrasound, abdominal, limited

$278K

4,077 claims · 0.4%

Your Cost: $68.11/claim|Median: $23.81
2.9× median
90791Normal range

Psychiatric diagnostic evaluation

$264K

3,642 claims · 0.4%

Your Cost: $72.37/claim|Median: $99.21
0.7× median
76856Normal range

Ultrasound, pelvic, complete

$261K

3,619 claims · 0.4%

Your Cost: $72.13/claim|Median: $47.58
1.5× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$259K

845 claims · 0.4%

Your Cost: $306.97/claim|Median: $106.14
2.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$235K

12K claims · 0.3%

Your Cost: $20.09/claim|Median: $9.56
2.1× median
72148Normal range

MRI lumbar spine without contrast

$230K

2,039 claims · 0.3%

Your Cost: $112.81/claim|Median: $101.03
1.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$229K

16K claims · 0.3%

Your Cost: $14.35/claim|Median: $16.79
0.9× median
G0260Normal range

$229K

969 claims · 0.3%

Your Cost: $236.20/claim|Median: $169.32
1.4× median