Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ME › Bangor › NPI 1598830820
Residential

Penquis C.A.P., INC.

Penquis C.A.P., INC. was paid $3.59M by Medicaid between Nov 2023 and Nov 2024, across 2 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 70% of everything it billed.

33Billing provider infoPENQUIS C.A.P., INC.
BANGOR, ME 04401
33aNPI1598830820assigned 11/21/2006
28Total paid$3.59M
24GClaims10,538
24DCodes billed2
24AFirst – last monthNov 2023 – Nov 2024
Compared with peers

Next to other Mental Illness Community Based Residential Treatment Facility providers in Maine

Rank by total paid#8 of 8
Median peer was paid$21.01M
This provider vs. median0.2×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2023628$225K
2024incomplete9,910$3.37M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 70% 5,269 185 $2.51M
T1020 Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 30% 5,269 185 $1.08M

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 officialHAY, KARA (CEO)
Same official

Other billing entities under HAY, KARA

Full network →
ProviderLocationPaid
Penquis C.A.P., INC.Bangor, ME$20.57M
Penquis C.A.P., INC.Bangor, ME$3.94M
Penquis C.A.P., INC.Bangor, ME$2.60M
Penquis C.A.P., INC.Bangor, ME$135K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.