Medicaid Provider Spending

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

PENOBSCOT COMMUNITY HEALTH CENTER

NPI: 1427169010 · BANGOR, ME 04401 · General Practice Physician · NPI assigned 08/31/2006

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

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

$20.27M
Total Medicaid Paid
293,834
Total Claims
222,331
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDWYER, LORI (CEO AND PRESIDENT)
NPI Enumeration Date08/31/2006

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 $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 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 40,505 $2.34M
2019 48,384 $2.87M
2020 37,842 $2.49M
2021 51,960 $2.78M
2022 42,280 $2.67M
2023 41,065 $3.92M
2024 31,798 $3.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 95,896 64,739 $17.14M
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 27,826 22,722 $1.48M
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 5,770 4,662 $613K
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 5,917 2,751 $291K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50,877 43,110 $136K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 9,653 5,040 $107K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,181 27,543 $82K
80305 7,218 5,030 $54K
0012A 1,121 1,085 $39K
0011A 1,172 1,155 $38K
0001A 1,005 952 $35K
0002A 935 889 $33K
90834 Psychotherapy, 45 minutes with patient 12,404 6,139 $33K
0071A 625 570 $21K
0072A 672 531 $20K
G0008 Administration of influenza virus vaccine 2,579 2,486 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,571 1,439 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,174 1,051 $15K
90832 Psychotherapy, 30 minutes with patient 5,315 3,423 $15K
0031A 336 322 $11K
0064A 339 264 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,136 1,979 $8K
0004A 254 180 $7K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 95 93 $6K
0003A 174 139 $5K
96160 3,632 3,376 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,324 1,261 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,068 1,002 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,543 1,432 $2K
90837 Psychotherapy, 53 minutes with patient 419 237 $2K
0124A 47 46 $2K
0054A 46 45 $2K
91320 14 14 $2K
69209 74 72 $1K
90686 1,312 1,270 $1K
98940 999 621 $1K
99350 Prolong home eval add 15m 441 363 $1K
99215 Prolong outpt/office vis 1,013 979 $1K
90688 466 453 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 127 113 $1K
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 41 40 $983.07
99348 1,027 816 $913.52
0052A 17 14 $554.70
90853 Group psychotherapy (other than of a multiple-family group) 373 195 $536.46
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 621 294 $487.16
0034A 15 13 $484.77
0134A 13 13 $480.74
0051A 13 13 $480.74
90480 14 14 $469.32
0013A 14 13 $447.48
J1885 Injection, ketorolac tromethamine, per 15 mg 700 644 $423.96
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 37 36 $403.23
99349 442 347 $376.25
96127 565 530 $370.35
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 609 577 $272.25
90662 41 41 $189.15
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 740 373 $174.10
81003 66 65 $126.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 12 12 $95.45
81025 13 12 $64.20
17110 26 24 $16.79
90715 112 104 $15.21
94760 1,306 1,252 $7.30
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 130 127 $2.21
90472 Immunization administration, each additional vaccine (list separately) 61 55 $1.30
90746 13 12 $0.00
91312 47 46 $0.00
90791 Psychiatric diagnostic evaluation 163 159 $0.00
99347 14 14 $0.00
91300 2,398 2,081 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 14 13 $0.00
99238 Hospital discharge day management, 30 minutes or less 45 42 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 59 51 $0.00
90713 34 33 $0.00
90658 24 23 $0.00
91313 13 13 $0.00
97162 60 60 $0.00
91301 2,372 2,229 $0.00
91303 377 350 $0.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 228 215 $0.00
91307 1,310 1,015 $0.00
91305 122 111 $0.00
90792 Psychiatric diagnostic evaluation with medical services 178 172 $0.00
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg 41 38 $0.00
99460 63 61 $0.00
91306 338 263 $0.00
90656 102 102 $0.00
90716 13 12 $0.00
97010 28 14 $0.00