NPI: 1174845697 · BANGOR, ME 04401 · Federally Qualified Health Center (FQHC) · NPI assigned 02/25/2010
Authorized official DWYER, LORI controls 20+ related entities in our dataset. Read more
| Authorized Official | DWYER, LORI (PRESIDENT & CEO) |
| Parent Organization | PENOBSCOT COMMUNITY HEALTH CENTER |
| NPI Enumeration Date | 02/25/2010 |
Other providers sharing the same authorized official: DWYER, LORI
| 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 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 26,229 | 11,328 | $4.87M |
| 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 | 5,642 | 4,201 | $336K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 2,015 | 1,244 | $202K |
| 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 | 1,886 | 828 | $113K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10,502 | 8,122 | $29K |
| 90834 | Psychotherapy, 45 minutes with patient | 4,431 | 2,097 | $19K |
| 90832 | Psychotherapy, 30 minutes with patient | 4,458 | 2,464 | $14K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6,788 | 5,352 | $12K |
| 80305 | 1,385 | 855 | $9K | |
| G0008 | Administration of influenza virus vaccine | 275 | 259 | $2K |
| 99215 | Prolong outpt/office vis | 437 | 396 | $1K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 4,299 | 505 | $898.21 |
| 96160 | 395 | 351 | $567.45 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 268 | 240 | $247.15 |
| 90686 | 109 | 106 | $156.41 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 97 | 91 | $16.74 |
| 96127 | 94 | 91 | $0.00 | |
| 99443 | 21 | 14 | $0.00 | |
| 90656 | 13 | 13 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 111 | 95 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 13 | 13 | $0.00 |