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Eastern Maine Medical Center

General Acute Care Hospital·Bangor, ME·NPI: 1790789147Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $159.2M is at the 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$159.2M

$159,203,766

Total Claims

3.3M

Beneficiaries

2.8M

1.2 claims/patient

Avg Cost/Claim

$48

#658 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Eastern Maine Medical Center is a General Acute Care Hospital provider based in Bangor, ME. From the 2018–2024 period, this provider received $159.2M in Medicaid payments across 3.3M claims.

Why This Matters

This provider received $159.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,900 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 29% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.0M
+16%
2019
$20.9M
-2%
2020
$20.6M
+28%
2021
$26.4M
-6%
2022
$24.9M
+1%
2023
$25.2M
-8%
2024
$23.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 21% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$34.2M

520K claims · 21.5%

Your Cost: $65.72/claim|Median: $26.41
2.5× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$16.4M

49K claims · 10.3%

Your Cost: $335.55/claim|Median: $85.65
3.9× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$7.3M

2K claims · 4.6%

Your Cost: $4,205.46/claim|Median: $5,391.55
0.8× median
99284Top 25%

Emergency dept visit, high complexity

$5.2M

41K claims · 3.2%

Your Cost: $126.75/claim|Median: $69.51
1.8× median
99214Normal range

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

$4.1M

113K claims · 2.6%

Your Cost: $36.02/claim|Median: $53.41
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$3.0M

33K claims · 1.9%

Your Cost: $90.66/claim|Median: $54.68
1.7× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$2.9M

722 claims · 1.8%

Your Cost: $3,959.66/claim|Median: $3,562.28
1.1× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$2.5M

1K claims · 1.6%

Your Cost: $2,276.51/claim|Median: $57.39
39.7× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$2.4M

4K claims · 1.5%

Your Cost: $562.66/claim|Median: $470.36
1.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.4M

19K claims · 1.5%

Your Cost: $124.57/claim|Median: $42.48
2.9× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$2.4M

11K claims · 1.5%

Your Cost: $216.21/claim|Median: $260.56
0.8× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$2.2M

19K claims · 1.4%

Your Cost: $118.92/claim|Median: $75.28
1.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$2.0M

39K claims · 1.3%

Your Cost: $52.50/claim|Median: $49.45
1.1× median
J2505Normal range

$1.9M

1K claims · 1.2%

Your Cost: $1,891.40/claim|Median: $1,842.27
1.0× median
78815Normal range

PET imaging for limited area

$1.8M

3K claims · 1.1%

Your Cost: $510.62/claim|Median: $325.10
1.6× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$1.8M

1K claims · 1.1%

Your Cost: $1,702.11/claim|Median: $1,587.53
1.1× median
99213Normal range

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

$1.7M

61K claims · 1.1%

Your Cost: $28.35/claim|Median: $37.81
0.8× median
Q5104Normal range

$1.7M

873 claims · 1.0%

Your Cost: $1,895.50/claim|Median: $1,412.69
1.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.5M

5K claims · 1.0%

Your Cost: $284.71/claim|Median: $151.68
1.9× median
90791Normal range

Psychiatric diagnostic evaluation

$1.5M

29K claims · 0.9%

Your Cost: $51.79/claim|Median: $99.21
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$1.5M

25K claims · 0.9%

Your Cost: $59.62/claim|Median: $74.09
0.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.5M

17K claims · 0.9%

Your Cost: $88.66/claim|Median: $21.76
4.1× median
45380Top 25%

Colonoscopy with biopsy

$1.5M

3K claims · 0.9%

Your Cost: $470.45/claim|Median: $200.68
2.3× median
93303Top 25%

Echocardiography, transthoracic, limited

$1.4M

7K claims · 0.9%

Your Cost: $201.62/claim|Median: $112.83
1.8× median
96365Normal range

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

$1.3M

16K claims · 0.8%

Your Cost: $79.64/claim|Median: $54.77
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$1.2M

10K claims · 0.7%

Your Cost: $111.75/claim|Median: $101.24
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.1M

32K claims · 0.7%

Your Cost: $36.24/claim|Median: $35.30
1.0× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$1.1M

2K claims · 0.7%

Your Cost: $477.90/claim|Median: $233.73
2.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.0M

43K claims · 0.6%

Your Cost: $23.83/claim|Median: $23.99
1.0× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$971K

1K claims · 0.6%

Your Cost: $767.88/claim|Median: $32.07
23.9× median

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