Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ME › Bangor › NPI 1619043098
Agency

Penquis C.A.P., INC.

Penquis C.A.P., INC. was paid $20.57M by Medicaid between Jan 2018 and Mar 2024, across 3 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 98% of everything it billed.

33Billing provider infoPENQUIS C.A.P., INC.
BANGOR, ME 04401
33aNPI1619043098assigned 11/28/2006
28Total paid$20.57M
24GClaims41,788
24DCodes billed3
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Maine

Rank by total paid#13 of 116
Median peer was paid$1.80M
This provider vs. median11×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration98% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.
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
2018865$5.35M
201910,992$4.54M
202010,114$4.04M
20218,941$3.14M
20226,741$2.43M
20233,764$1.01M
2024incomplete371$67K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2016 A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem 98% 39,158 1,880 $20.09M
S5140 Foster care, adult; per diem 2.3% 2,382 89 $465K
T2035 Utility services to support medical equipment and assistive technology/devices, waiver <1% 248 246 $14K

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$3.94M
Penquis C.A.P., INC.Bangor, ME$3.59M
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.