PENOBSCOT COMMUNITY HEALTH CENTER
NPI: 1427338854
· BANGOR, ME 04401
· 291U00000X
$5.63M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| 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 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0467 |
Fqhc visit, estab pt |
57,330 |
23,248 |
$3.33M |
| T1015 |
Clinic service |
12,097 |
5,209 |
$1.62M |
| G0470 |
Fqhc visit, mh estab pt |
7,600 |
3,350 |
$519K |
| G2025 |
Dis site tele svcs rhc/fqhc |
720 |
394 |
$69K |
| 99309 |
|
30,370 |
15,688 |
$26K |
| 99308 |
|
15,419 |
9,516 |
$18K |
| 90832 |
|
6,023 |
3,222 |
$17K |
| 90834 |
|
1,917 |
1,198 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
4,278 |
3,789 |
$4K |
| G0468 |
Fqhc visit, 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 |
|
262 |
257 |
$2K |
| 84443 |
|
122 |
119 |
$2K |
| 80061 |
|
115 |
115 |
$1K |
| 99349 |
|
993 |
792 |
$947.98 |
| 99336 |
|
1,917 |
1,579 |
$862.31 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
107 |
99 |
$621.09 |
| 82306 |
|
27 |
26 |
$596.68 |
| G0438 |
Ppps, initial visit |
24 |
24 |
$489.15 |
| 87081 |
|
83 |
82 |
$475.28 |
| 85025 |
|
85 |
82 |
$472.14 |
| G0439 |
Ppps, subseq 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 |
|
39 |
38 |
$271.32 |
| 99347 |
|
329 |
264 |
$71.34 |
| 99315 |
|
74 |
70 |
$24.08 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$10.00 |
| 99213 |
|
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 |
|
748 |
719 |
$0.00 |
| 90837 |
|
22 |
12 |
$0.00 |
| 99337 |
|
15 |
13 |
$0.00 |
| 90791 |
|
13 |
13 |
$0.00 |