Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PENOBSCOT COMMUNITY HEALTH CENTER

NPI: 1588868814 · BANGOR, ME 04401 · Federally Qualified Health Center (FQHC) · NPI assigned 06/12/2007

$1.63M
Total Medicaid Paid
25,492
Total Claims
13,331
Beneficiaries
17
Codes Billed
2019-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialDWYER, LORELLE (PRESIDENT & CEO)
Parent OrganizationPENOBSCOT COMMUNITY HEALTH CENTER
NPI Enumeration Date06/12/2007

Related Entities

Other providers sharing the same authorized official: DWYER, LORELLE

ProviderCityStateTotal Paid
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $4.13M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 18 $0.00
2021 7,837 $453K
2022 10,986 $636K
2023 6,651 $542K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 7,778 3,250 $1.52M
80305 7,119 4,030 $55K
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 788 370 $51K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,221 2,783 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,678 1,576 $312.31
G0008 Administration of influenza virus vaccine 18 18 $300.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 234 212 $128.05
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 170 152 $30.39
90715 57 55 $17.34
90686 17 17 $16.02
90632 26 26 $0.00
96127 70 59 $0.00
96160 1,150 656 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 99 75 $0.00
90746 12 12 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 13 $0.00
99348 40 27 $0.00