Medicaid Provider Spending

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

PENOBSCOT COMMUNITY HEALTH CENTER

NPI: 1427338854 · BANGOR, ME 04401 · Clinical Medical Laboratory · NPI assigned 08/17/2011

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

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

$5.63M
Total Medicaid Paid
148,896
Total Claims
77,037
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDWYER, LORI (PRESIDENT & CEO)
Parent OrganizationPENOBSCOT COMMUNITY HEALTH CENTER
NPI Enumeration Date08/17/2011

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 $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 $5.61M
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 25,652 $737K
2019 27,340 $773K
2020 20,665 $657K
2021 18,480 $591K
2022 17,326 $576K
2023 22,321 $1.26M
2024 17,112 $1.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 57,330 23,248 $3.33M
T1015 Clinic visit/encounter, all-inclusive 12,097 5,209 $1.62M
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 7,600 3,350 $519K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 720 394 $69K
99309 Subsequent nursing facility care, per day, low to moderate complexity 30,370 15,688 $26K
99308 Subsequent nursing facility care, per day, straightforward 15,419 9,516 $18K
90832 Psychotherapy, 30 minutes with patient 6,023 3,222 $17K
90834 Psychotherapy, 45 minutes with patient 1,917 1,198 $5K
99310 Prolong nursin fac eval 15m 4,278 3,789 $4K
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 112 108 $3K
99306 Prolong nursin fac eval 15m 2,350 2,255 $3K
99335 1,645 1,289 $3K
99307 2,205 1,917 $3K
87631 36 36 $3K
80053 Comprehensive metabolic panel 262 257 $2K
84443 Thyroid stimulating hormone (TSH) 122 119 $2K
80061 Lipid panel 115 115 $1K
99349 993 792 $947.98
99336 1,917 1,579 $862.31
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 107 99 $621.09
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 27 26 $596.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 24 24 $489.15
87081 83 82 $475.28
85025 Blood count; complete (CBC), automated, and automated differential WBC count 85 82 $472.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 13 $463.08
99334 432 324 $424.36
99348 827 647 $354.09
82607 30 28 $297.72
99305 143 140 $283.29
83036 Hemoglobin; glycosylated (A1C) 39 38 $271.32
99347 329 264 $71.34
99315 74 70 $24.08
G0008 Administration of influenza virus vaccine 12 12 $10.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80 75 $0.00
99316 15 15 $0.00
99304 12 12 $0.00
17000 12 12 $0.00
17110 242 236 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 748 719 $0.00
90837 Psychotherapy, 53 minutes with patient 22 12 $0.00
99337 15 13 $0.00
90791 Psychiatric diagnostic evaluation 13 13 $0.00