PENOBSCOT COMMUNITY HEALTH CENTER
NPI: 1174845697
· BANGOR, ME 04401
· 261QF0400X
$5.61M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,771 |
$616K |
| 2019 |
13,871 |
$945K |
| 2020 |
8,687 |
$670K |
| 2021 |
7,589 |
$595K |
| 2022 |
8,538 |
$620K |
| 2023 |
9,371 |
$932K |
| 2024 |
11,641 |
$1.23M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
26,229 |
11,328 |
$4.87M |
| G0467 |
Fqhc visit, estab pt |
5,642 |
4,201 |
$336K |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,015 |
1,244 |
$202K |
| G0470 |
Fqhc visit, mh estab pt |
1,886 |
828 |
$113K |
| 99214 |
|
10,502 |
8,122 |
$29K |
| 90834 |
|
4,431 |
2,097 |
$19K |
| 90832 |
|
4,458 |
2,464 |
$14K |
| 99213 |
|
6,788 |
5,352 |
$12K |
| 80305 |
|
1,385 |
855 |
$9K |
| G0008 |
Admin influenza virus vac |
275 |
259 |
$2K |
| 99215 |
Prolong outpt/office vis |
437 |
396 |
$1K |
| 90853 |
|
4,299 |
505 |
$898.21 |
| 96160 |
|
395 |
351 |
$567.45 |
| 96372 |
|
268 |
240 |
$247.15 |
| 90686 |
|
109 |
106 |
$156.41 |
| 99203 |
|
97 |
91 |
$16.74 |
| 96127 |
|
94 |
91 |
$0.00 |
| 99443 |
|
21 |
14 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 99212 |
|
111 |
95 |
$0.00 |
| 90791 |
|
13 |
13 |
$0.00 |