Physician
Penobscot Community Health Center
Penobscot Community Health Center was paid $4.13M by Medicaid between Apr 2020 and Dec 2024, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoPENOBSCOT COMMUNITY HEALTH CENTER
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1083259410assigned 11/08/2019
33bProvider typeAdult Medicine Physician
28Total paid$4.13M
24GClaims50,047
24DCodes billed33
24AFirst – last monthApr 2020 – Dec 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 5,972 | $385K | |
| 2021 | 10,807 | $725K | |
| 2022 | 12,444 | $857K | |
| 2023 | 12,941 | $1.30M | |
| 2024incomplete | 7,883 | $855K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 86% | 18,021 | 13,526 | $3.56M |
| G0467 | Community health center visit, returning patientFederally 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 | 8.4% | 5,501 | 4,610 | $347K |
| 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 | 2.0% | 1,200 | 640 | $82K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 363 | 316 | $41K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 4,739 | 2,192 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 9,326 | 7,777 | $24K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 5,742 | 5,339 | $17K |
| G0008 | Administration of influenza virus vaccine | <1% | 478 | 469 | $6K |
| 98926 | <1% | 473 | 366 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 738 | 701 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 340 | 319 | $2K |
| 90686 | <1% | 433 | 427 | $974.62 |
21 more codes
| 98927 | <1% | 1,051 | $970.70 | |
| 97803 | <1% | 506 | $581.38 | |
| 0124A | <1% | 15 | $522.52 | |
| 81025 | <1% | 85 | $489.52 | |
| 97802 | <1% | 119 | $313.73 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 68 | $189.07 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 130 | $63.25 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 69 | $32.98 |
| 17000 | <1% | 12 | $25.42 | |
| 17110 | <1% | 166 | $25.17 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $20.52 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 62 | $18.70 |
| 90715 | <1% | 65 | $16.88 | |
| 90662 | <1% | 16 | $7.16 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 14 | $0.00 |
| 96160 | 0% | 103 | $0.00 | |
| 91312 | 0% | 15 | $0.00 | |
| 98925 | 0% | 82 | $0.00 | |
| 90656 | 0% | 19 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 68 | $0.00 |
| 94760 | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDWYER, LORELLE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Penobscot Community Health Center | Bangor, ME | $1.63M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.