Clinic
Penobscot Community Health Center
Penobscot Community Health Center was paid $1.63M by Medicaid between Jan 2019 and Sep 2023, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoPENOBSCOT COMMUNITY HEALTH CENTER
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1588868814assigned 06/12/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.63M
24GClaims25,492
24DCodes billed17
24AFirst – last monthJan 2019 – Sep 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#38 of 76
Median peer was paid$1.58M
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2019 | 18 | $0.00 | |
| 2021 | 7,837 | $453K | |
| 2022 | 10,986 | $636K | |
| 2023 | 6,651 | $542K |
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 | 93% | 7,778 | 3,250 | $1.52M |
| 80305 | 3.4% | 7,119 | 4,030 | $55K | |
| 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 | 3.1% | 788 | 370 | $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% | 5,221 | 2,783 | $2K |
| 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% | 2,678 | 1,576 | $312.31 |
| G0008 | Administration of influenza virus vaccine | <1% | 18 | 18 | $300.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 234 | 212 | $128.05 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 170 | 152 | $30.39 |
| 90715 | <1% | 57 | 55 | $17.34 | |
| 90686 | <1% | 17 | 17 | $16.02 | |
| 90632 | 0% | 26 | 26 | $0.00 | |
| 96127 | 0% | 70 | 59 | $0.00 |
5 more codes
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, LORELLE (PRESIDENT & CEO)
Parent organizationPENOBSCOT COMMUNITY HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| Penobscot Community Health Center | Bangor, ME | $4.13M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.