PENOBSCOT COMMUNITY HEALTH CENTER
NPI: 1588868814
· BANGOR, ME 04401
· 261QF0400X
$1.63M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
18 |
$0.00 |
| 2021 |
7,837 |
$453K |
| 2022 |
10,986 |
$636K |
| 2023 |
6,651 |
$542K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
7,778 |
3,250 |
$1.52M |
| 80305 |
|
7,119 |
4,030 |
$55K |
| G0467 |
Fqhc visit, estab pt |
788 |
370 |
$51K |
| 99214 |
|
5,221 |
2,783 |
$2K |
| 99213 |
|
2,678 |
1,576 |
$312.31 |
| G0008 |
Admin influenza virus vac |
18 |
18 |
$300.00 |
| 96372 |
|
234 |
212 |
$128.05 |
| 90471 |
|
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 |
|
99 |
75 |
$0.00 |
| 90746 |
|
12 |
12 |
$0.00 |
| 99203 |
|
15 |
13 |
$0.00 |
| 99348 |
|
40 |
27 |
$0.00 |