Medicare provider payments and utilization data for Maine (ME)
Maine received $2.8B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Ophthalmology, accounting for $25.9M in payments across 68 providers.
In 2023, 6.4K providers were actively billing Medicare in Maine.
Annual Medicare spending declined 27% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $313.0M | 9.6M | 6.1K | — |
| 2015 | $316.2M | 9.5M | 6.2K | +1.0% |
| 2016 | $309.9M | 9.4M | 6.3K | -2.0% |
| 2017 | $296.4M | 7.9M | 6.3K | -4.4% |
| 2018 | $297.1M | 8.0M | 6.3K | +0.2% |
| 2019 | $293.1M | 8.1M | 6.4K | -1.3% |
| 2020 | $236.5M | 6.4M | 6.2K | -19.3% |
| 2021 | $253.1M | 6.6M | 6.3K | +7.1% |
| 2022 | $230.6M | 6.1M | 6.4K | -8.9% |
| 2023 | $227.6M | 6.1M | 6.4K | -1.3% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $17.9M | 273.8K | 2.5K |
| J0178 | Injection, aflibercept, 1 mg | $11.1M | 16.1K | 17 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $10.1M | 205.4K | 2.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $7.7M | 19.5K | 133 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $6.3M | 105.9K | 885 |
| J9271 | Injection, pembrolizumab, 1 mg | $5.6M | 129.3K | 8 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $5.4M | 128.0K | 86 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $5.4M | 16.2K | 128 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $4.7M | 50.9K | 575 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $4.5M | 155.2K | 11 |
| A0425 | Ground mileage, per statute mile | $4.4M | 533.0K | 142 |
| 99285 | Emergency department visit with high level of medical decision making | $4.3M | 31.8K | 340 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $3.7M | 37.9K | 779 |
| 92014 | Established patient complete exam of visual system | $3.5M | 46.2K | 237 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $3.2M | 24.5K | 595 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $3.1M | 175.4K | 442 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $2.9M | 29.4K | 807 |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm | $2.9M | 12.8K | 11 |
| 97530 | Therapy procedure using functional activities | $2.9M | 117.2K | 305 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $2.8M | 41.2K | 646 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $25.9M | 68 | $380.3K |
| Ambulance Service Provider | $22.1M | 142 | $155.5K |
| Hematology-Oncology | $13.5M | 39 | $345.4K |
| Internal Medicine | $13.3M | 408 | $32.5K |
| Nurse Practitioner | $12.5M | 1.0K | $12.0K |
| Physical Therapist in Private Practice | $10.3M | 423 | $24.4K |
| Family Practice | $9.5M | 517 | $18.4K |
| Diagnostic Radiology | $8.2M | 114 | $71.8K |
| Physician Assistant | $7.9M | 708 | $11.1K |
| Emergency Medicine | $7.6M | 283 | $26.7K |
| Ambulatory Surgical Center | $6.9M | 14 | $493.1K |
| Mass Immunizer Roster Biller | $5.9M | 143 | $41.2K |
| Dermatology | $5.4M | 40 | $136.0K |
| Optometry | $5.2M | 194 | $26.7K |
| Hospitalist | $4.8M | 149 | $32.2K |
| Radiation Oncology | $4.5M | 19 | $236.0K |
| Cardiology | $4.5M | 96 | $46.5K |
| Orthopedic Surgery | $4.3M | 98 | $44.1K |
| Rheumatology | $3.5M | 21 | $165.3K |
| Opioid Treatment Program | $3.2M | 11 | $295.1K |
| Clinical Laboratory | $2.8M | 3 | $944.5K |
| Pathology | $2.4M | 47 | $50.8K |
| Medical Oncology | $2.3M | 18 | $128.2K |
| Podiatry | $2.3M | 49 | $46.6K |
| Independent Diagnostic Testing Facility (IDTF) | $2.3M | 11 | $206.3K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.