Clinic
Penobscot Bay Physicians & Associates
Penobscot Bay Physicians & Associates was paid $415K by Medicaid between Jan 2018 and Dec 2018, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoPENOBSCOT BAY PHYSICIANS & ASSOCIATES
ROCKPORT, ME 04856
ROCKPORT, ME 04856
33aNPI1497799720assigned 06/16/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$415K
24GClaims15,143
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Maine
Rank by total paid#3 of 8
Median peer was paid$225K
This provider vs. median1.8×
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.
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 | 15,143 | $415K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 8,929 | 8,123 | $232K |
| 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 | 23% | 3,679 | 3,418 | $97K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 453 | 436 | $26K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 410 | 410 | $23K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 300 | 188 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 140 | 140 | $7K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.1% | 95 | 66 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 250 | 131 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 275 | 208 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 134 | 133 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 108 | 98 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | 26 | $1K |
9 more codes
| 11721 | <1% | 192 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | $993.33 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $987.95 |
| 17110 | <1% | 16 | $473.99 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 18 | $406.30 |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $322.35 |
| 95886 | <1% | 13 | $230.94 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $107.88 |
| 96127 | <1% | 14 | $47.18 |
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 officialFALLER, LYN (DIRECTOR)