Clinic
Penobscot Valley Hospital
Penobscot Valley Hospital was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoPENOBSCOT VALLEY HOSPITAL
LINCOLN, ME 04457
LINCOLN, ME 04457
33aNPI1588995948assigned 01/26/2010
33bProvider typeRural Health Clinic/Center
28Total paid$1.05M
24GClaims25,462
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#17 of 22
Median peer was paid$1.81M
This provider vs. median0.6×
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 | 3,483 | $121K | |
| 2019 | 3,560 | $118K | |
| 2020 | 3,212 | $130K | |
| 2021 | 3,528 | $150K | |
| 2022 | 3,660 | $154K | |
| 2023 | 4,075 | $173K | |
| 2024incomplete | 3,944 | $205K |
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 | 92% | 11,613 | 10,072 | $967K |
| 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 | 3.4% | 5,305 | 4,918 | $36K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 6,980 | 6,129 | $35K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 117 | 108 | $4K |
| 99441 | <1% | 62 | 55 | $4K | |
| 99307 | <1% | 333 | 308 | $3K | |
| 99442 | <1% | 16 | 15 | $2K | |
| 99348 | <1% | 85 | 78 | $660.73 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 66 | 62 | $619.36 |
| 90662 | 0% | 85 | 77 | $0.00 | |
| 90686 | 0% | 130 | 118 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 601 | 581 | $0.00 |
1 more codes
| 90674 | 0% | 69 | $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 officialPELKEY, MELISSA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Penobscot Valley Hospital | Lincoln, ME | $1.28M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.