Physician
Penobscot Community Health Center
Penobscot Community Health Center was paid $20.27M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoPENOBSCOT COMMUNITY HEALTH CENTER
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1427169010assigned 08/31/2006
33bProvider typeGeneral Practice Physician
28Total paid$20.27M
24GClaims293,834
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Maine
Rank by total paid#1 of 8
Median peer was paid$63K
This provider vs. median324×
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 | 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 | |
| 2024incomplete | 31,798 | $3.21M |
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 | 85% | 95,896 | 64,739 | $17.14M |
| 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 | 7.3% | 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 | 3.0% | 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 | 1.4% | 5,917 | 2,751 | $291K |
| 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% | 50,877 | 43,110 | $136K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 9,653 | 5,040 | $107K |
| 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% | 31,181 | 27,543 | $82K |
| 80305 | <1% | 7,218 | 5,030 | $54K | |
| 0012A | <1% | 1,121 | 1,085 | $39K | |
| 0011A | <1% | 1,172 | 1,155 | $38K | |
| 0001A | <1% | 1,005 | 952 | $35K | |
| 0002A | <1% | 935 | 889 | $33K |
77 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 12,404 | $33K |
| 0071A | <1% | 625 | $21K | |
| 0072A | <1% | 672 | $20K | |
| G0008 | Administration of influenza virus vaccine | <1% | 2,579 | $19K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,571 | $17K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,174 | $15K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 5,315 | $15K |
| 0031A | <1% | 336 | $11K | |
| 0064A | <1% | 339 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,136 | $8K |
| 0004A | <1% | 254 | $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 | <1% | 95 | $6K |
| 0003A | <1% | 174 | $5K | |
| 96160 | <1% | 3,632 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,324 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,068 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,543 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 419 | $2K |
| 0124A | <1% | 47 | $2K | |
| 0054A | <1% | 46 | $2K | |
| 91320 | <1% | 14 | $2K | |
| 69209 | <1% | 74 | $1K | |
| 90686 | <1% | 1,312 | $1K | |
| 98940 | <1% | 999 | $1K | |
| 99350 | Prolong home eval add 15m | <1% | 441 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,013 | $1K |
| 90688 | <1% | 466 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 127 | $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 | <1% | 41 | $983.07 |
| 99348 | <1% | 1,027 | $913.52 | |
| 0052A | <1% | 17 | $554.70 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 373 | $536.46 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 621 | $487.16 |
| 0034A | <1% | 15 | $484.77 | |
| 0134A | <1% | 13 | $480.74 | |
| 0051A | <1% | 13 | $480.74 | |
| 90480 | <1% | 14 | $469.32 | |
| 0013A | <1% | 14 | $447.48 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 700 | $423.96 |
| G0466 | Community health center visit, new patient | <1% | 37 | $403.23 |
| 99349 | <1% | 442 | $376.25 | |
| 96127 | <1% | 565 | $370.35 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 609 | $272.25 |
| 90662 | <1% | 41 | $189.15 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 740 | $174.10 |
| 81003 | <1% | 66 | $126.75 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 12 | $95.45 |
| 81025 | <1% | 13 | $64.20 | |
| 17110 | <1% | 26 | $16.79 | |
| 90715 | <1% | 112 | $15.21 | |
| 94760 | <1% | 1,306 | $7.30 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 130 | $2.21 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 61 | $1.30 |
| 90746 | 0% | 13 | $0.00 | |
| 91312 | 0% | 47 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 163 | $0.00 |
| 99347 | 0% | 14 | $0.00 | |
| 91300 | 0% | 2,398 | $0.00 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 14 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 45 | $0.00 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 59 | $0.00 |
| 90713 | 0% | 34 | $0.00 | |
| 90658 | 0% | 24 | $0.00 | |
| 91313 | 0% | 13 | $0.00 | |
| 97162 | 0% | 60 | $0.00 | |
| 91301 | 0% | 2,372 | $0.00 | |
| 91303 | 0% | 377 | $0.00 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 228 | $0.00 |
| 91307 | 0% | 1,310 | $0.00 | |
| 91305 | 0% | 122 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 178 | $0.00 |
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 0% | 41 | $0.00 |
| 99460 | 0% | 63 | $0.00 | |
| 91306 | 0% | 338 | $0.00 | |
| 90656 | 0% | 102 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 97010 | 0% | 28 | $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 (CEO AND PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.