Physician
Penobscot Community Health Center
Penobscot Community Health Center was paid $27.31M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoPENOBSCOT COMMUNITY HEALTH CENTER
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1568555498assigned 10/02/2006
33bProvider typePediatrics Physician
28Total paid$27.31M
24GClaims379,207
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maine
Rank by total paid#1 of 22
Median peer was paid$76K
This provider vs. median359×
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 | 56,683 | $3.18M | |
| 2019 | 59,191 | $3.48M | |
| 2020 | 48,801 | $3.02M | |
| 2021 | 48,229 | $3.15M | |
| 2022 | 54,046 | $3.61M | |
| 2023 | 56,845 | $5.34M | |
| 2024incomplete | 55,412 | $5.53M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 138,254 | 101,061 | $26.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 48,945 | 42,481 | $163K |
| G0008 | Administration of influenza virus vaccine | <1% | 13,517 | 13,192 | $132K |
| G0009 | Administration of pneumococcal vaccine | <1% | 6,014 | 5,908 | $59K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 11,275 | 5,948 | $51K |
| 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 | <1% | 19,725 | 17,795 | $40K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13,363 | 12,953 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 10,059 | 9,903 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 10,375 | 10,217 | $19K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 4,448 | 2,137 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,406 | 1,177 | $15K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 4,130 | 2,918 | $13K |
67 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 6,153 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 8,040 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,187 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,143 | $11K |
| 83655 | <1% | 727 | $8K | |
| 90686 | <1% | 10,795 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,450 | $8K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,177 | $7K |
| 90474 | <1% | 597 | $6K | |
| G0467 | Community health center visit, returning patient | <1% | 28 | $3K |
| 96127 | <1% | 2,868 | $3K | |
| 99381 | <1% | 1,086 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 694 | $2K |
| 85018 | <1% | 948 | $2K | |
| 90480 | <1% | 56 | $2K | |
| 96160 | <1% | 1,384 | $756.60 | |
| 90672 | <1% | 101 | $711.53 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 401 | $567.45 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 335 | $567.45 |
| 0074A | <1% | 14 | $517.72 | |
| 97803 | <1% | 439 | $470.38 | |
| 0081A | <1% | 12 | $443.76 | |
| 99173 | <1% | 1,214 | $374.41 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 243 | $365.09 |
| 90473 | <1% | 411 | $240.44 | |
| 90633 | <1% | 3,412 | $198.20 | |
| 90698 | <1% | 2,656 | $189.15 | |
| 90651 | <1% | 3,309 | $185.09 | |
| 92551 | <1% | 494 | $175.94 | |
| 97802 | <1% | 116 | $158.00 | |
| 81003 | <1% | 44 | $94.30 | |
| 90670 | <1% | 5,095 | $4.16 | |
| 94010 | 0% | 315 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 88 | $0.00 |
| 94760 | 0% | 3,559 | $0.00 | |
| 91307 | 0% | 65 | $0.00 | |
| 90647 | 0% | 1,875 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 2,210 | $0.00 |
| 90744 | 0% | 1,132 | $0.00 | |
| 90677 | 0% | 948 | $0.00 | |
| 90716 | 0% | 1,697 | $0.00 | |
| 90697 | 0% | 1,170 | $0.00 | |
| 90696 | 0% | 1,684 | $0.00 | |
| 90723 | 0% | 690 | $0.00 | |
| 90619 | 0% | 1,388 | $0.00 | |
| 90743 | 0% | 76 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 68 | $0.00 |
| 90656 | 0% | 1,090 | $0.00 | |
| 91319 | 0% | 24 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 205 | $0.00 |
| 99383 | 0% | 12 | $0.00 | |
| 94761 | 0% | 17 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| 90710 | 0% | 1,706 | $0.00 | |
| 90707 | 0% | 1,640 | $0.00 | |
| 90734 | 0% | 1,384 | $0.00 | |
| 90681 | 0% | 2,824 | $0.00 | |
| 90700 | 0% | 1,664 | $0.00 | |
| 99051 | 0% | 51 | $0.00 | |
| 90648 | 0% | 77 | $0.00 | |
| 90685 | 0% | 116 | $0.00 | |
| 90715 | 0% | 1,954 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 0% | 60 | $0.00 |
| 99177 | 0% | 126 | $0.00 | |
| 99382 | 0% | 30 | $0.00 | |
| 91308 | 0% | 98 | $0.00 | |
| 69210 | 0% | 12 | $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.