Physician
Penobscot Community Health Center
Penobscot Community Health Center was paid $1.97M by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoPENOBSCOT COMMUNITY HEALTH CENTER
WINTERPORT, ME 04496
WINTERPORT, ME 04496
33aNPI1093136871assigned 12/23/2013
33bProvider typeFamily Medicine Physician
28Total paid$1.97M
24GClaims24,590
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Maine
Rank by total paid#9 of 84
Median peer was paid$67K
This provider vs. median29×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DWYER, LORI controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 3,314 | $214K | |
| 2019 | 3,432 | $232K | |
| 2020 | 2,895 | $201K | |
| 2021 | 3,968 | $304K | |
| 2022 | 4,298 | $326K | |
| 2023 | 4,298 | $451K | |
| 2024incomplete | 2,385 | $243K |
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 | 88% | 9,505 | 7,659 | $1.73M |
| 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 | 11% | 4,002 | 3,349 | $215K |
| 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% | 6,955 | 6,076 | $16K |
| 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% | 3,713 | 3,364 | $11K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 23 | 20 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 247 | 243 | $2K |
| 90686 | <1% | 118 | 117 | $245.15 | |
| 90688 | 0% | 12 | 12 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 15 | 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, LORI (PRESIDENT & CEO)
Parent organizationPENOBSCOT COMMUNITY HEALTH CENTER
| Provider | Location | 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 | Belfast, ME | $14.16M |
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.