Medicaid Provider Spending

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

PENOBSCOT COMMUNITY HEALTH CENTER

NPI: 1023458320 · BELFAST, ME 04915 · General Practice Physician · NPI assigned 07/01/2013

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

Authorized official DWYER, LORI controls 20+ related entities in our dataset. Read more

$14.16M
Total Medicaid Paid
179,037
Total Claims
129,827
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDWYER, LORI (PRESIDENT & CEO)
Parent OrganizationPENOBSCOT COMMUNITY HEALTH CENTER
NPI Enumeration Date07/01/2013

Related Entities

Other providers sharing the same authorized official: DWYER, LORI

ProviderCityStateTotal Paid
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $27.31M
PENOBSCOT COMMUNITY HEALTH CENTER BREWER ME $24.58M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $20.27M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $17.44M
PENOBSCOT COMMUNITY HEALTH CENTER OLD TOWN ME $15.97M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $5.63M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $5.61M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $3.96M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $3.21M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $2.68M
PENOBSCOT COMMUNITY HEALTH CENTER WINTERPORT ME $1.97M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $770K
PENOBSCOT COMMUNITY HEALTH CENTER JACKMAN ME $574K
PENOBSCOT COMMUNITY HEALTH CENTER BELFAST ME $82K
PENOBSCOT COMMUNITY HEALTH CENTER BREWER ME $63K
PENOBSCOT COMMUNITY HEALTH CENTER OLD TOWN ME $36K
PENOBSCOT COMMUNITY HEALTH CENTER BREWER ME $31K
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $8K
PENOBSCOT COMMUNITY HEALTH CENTER BREWER ME $1K
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $453.32

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,076 $1.30M
2019 28,117 $1.93M
2020 26,510 $1.76M
2021 23,998 $1.71M
2022 28,607 $1.94M
2023 27,305 $2.83M
2024 24,424 $2.69M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 70,490 44,126 $12.94M
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 11,159 8,616 $615K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,068 1,640 $246K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,165 26,748 $82K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 668 332 $54K
96160 4,064 3,366 $41K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,711 17,305 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,913 3,497 $20K
G0008 Administration of influenza virus vaccine 1,997 1,918 $19K
80305 2,278 1,861 $17K
90834 Psychotherapy, 45 minutes with patient 5,669 2,932 $17K
90837 Psychotherapy, 53 minutes with patient 385 252 $8K
90688 324 318 $8K
36415 Collection of venous blood by venipuncture 1,444 1,374 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 886 810 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 424 407 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 829 776 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 727 706 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,112 2,039 $3K
96127 618 574 $3K
90832 Psychotherapy, 30 minutes with patient 1,920 1,314 $3K
98927 586 492 $2K
99215 Prolong outpt/office vis 587 551 $2K
98928 194 172 $2K
99308 Subsequent nursing facility care, per day, straightforward 53 28 $2K
90686 1,062 1,026 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 25 13 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 62 25 $1K
90472 Immunization administration, each additional vaccine (list separately) 1,187 1,091 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 22 13 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 485 458 $1K
G0009 Administration of pneumococcal vaccine 155 150 $710.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 186 176 $569.78
90853 Group psychotherapy (other than of a multiple-family group) 4,789 1,995 $506.91
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 34 34 $354.26
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 326 323 $275.59
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 274 274 $263.22
J1885 Injection, ketorolac tromethamine, per 15 mg 35 33 $205.02
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 776 769 $189.15
90715 220 217 $27.02
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 629 600 $16.74
99441 36 28 $5.03
99443 37 34 $2.94
99442 67 60 $0.00
90734 13 12 $0.00
90670 36 36 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 25 $0.00
90658 12 12 $0.00
90656 191 190 $0.00
94760 81 79 $0.00