PENOBSCOT VALLEY HOSPITAL
NPI: 1588995948
· LINCOLN, ME 04457
· Rural Health Clinic/Center
· NPI assigned 01/26/2010
$1.05M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PELKEY, MELISSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
3,944 |
$205K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,613 |
10,072 |
$967K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,305 |
4,918 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
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 |
117 |
108 |
$4K |
| 99441 |
|
62 |
55 |
$4K |
| 99307 |
|
333 |
308 |
$3K |
| 99442 |
|
16 |
15 |
$2K |
| 99348 |
|
85 |
78 |
$660.73 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
62 |
$619.36 |
| 90662 |
|
85 |
77 |
$0.00 |
| 90686 |
|
130 |
118 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
601 |
581 |
$0.00 |
| 90674 |
|
69 |
67 |
$0.00 |