NPI: 1427338854 · BANGOR, ME 04401 · Clinical Medical Laboratory · NPI assigned 08/17/2011
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 | 08/17/2011 |
Other providers sharing the same authorized official: DWYER, LORI
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total 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 |