Lab
Penobscot Community Health Center
Penobscot Community Health Center was paid $5.63M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is G0467, community health center visit, returning patient — 59% of everything it billed.
33Billing provider infoPENOBSCOT COMMUNITY HEALTH CENTER
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1427338854assigned 08/17/2011
33bProvider typeClinical Medical Laboratory
28Total paid$5.63M
24GClaims148,896
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Maine
Rank by total paid#3 of 10
Median peer was paid$404K
This provider vs. median14×
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 | 25,652 | $737K | |
| 2019 | 27,340 | $773K | |
| 2020 | 20,665 | $657K | |
| 2021 | 18,480 | $591K | |
| 2022 | 17,326 | $576K | |
| 2023 | 22,321 | $1.26M | |
| 2024incomplete | 17,112 | $1.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 57,330 | 23,248 | $3.33M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 29% | 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 | 9.2% | 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 | 1.2% | 720 | 394 | $69K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 30,370 | 15,688 | $26K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 15,419 | 9,516 | $18K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 6,023 | 3,222 | $17K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,917 | 1,198 | $5K |
| 99310 | Prolong nursin fac eval 15m | <1% | 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 | <1% | 112 | 108 | $3K |
| 99306 | Prolong nursin fac eval 15m | <1% | 2,350 | 2,255 | $3K |
| 99335 | <1% | 1,645 | 1,289 | $3K |
30 more codes
| 99307 | <1% | 2,205 | $3K | |
| 87631 | <1% | 36 | $3K | |
| 80053 | Comprehensive metabolic panel | <1% | 262 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 122 | $2K |
| 80061 | Lipid panel | <1% | 115 | $1K |
| 99349 | <1% | 993 | $947.98 | |
| 99336 | <1% | 1,917 | $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 | <1% | 107 | $621.09 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 27 | $596.68 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 24 | $489.15 |
| 87081 | <1% | 83 | $475.28 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 85 | $472.14 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 14 | $463.08 |
| 99334 | <1% | 432 | $424.36 | |
| 99348 | <1% | 827 | $354.09 | |
| 82607 | <1% | 30 | $297.72 | |
| 99305 | <1% | 143 | $283.29 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 39 | $271.32 |
| 99347 | <1% | 329 | $71.34 | |
| 99315 | <1% | 74 | $24.08 | |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $10.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 80 | $0.00 |
| 99316 | 0% | 15 | $0.00 | |
| 99304 | 0% | 12 | $0.00 | |
| 17000 | 0% | 12 | $0.00 | |
| 17110 | 0% | 242 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 748 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 22 | $0.00 |
| 99337 | 0% | 15 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 13 | $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 (PRESIDENT & CEO)
Parent organizationPENOBSCOT COMMUNITY HEALTH CENTER
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.