Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PENQUIS C.A.P., INC.

NPI: 1619043098 · BANGOR, ME 04401 · Community/Behavioral Health Agency · NPI assigned 11/28/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.

$20.57M
Total Medicaid Paid
41,788
Total Claims
2,215
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialHAY, KARA (CEO)
NPI Enumeration Date11/28/2006

Related Entities

Other providers sharing the same authorized official: HAY, KARA

ProviderCityStateTotal Paid
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 865 $5.35M
2019 10,992 $4.54M
2020 10,114 $4.04M
2021 8,941 $3.14M
2022 6,741 $2.43M
2023 3,764 $1.01M
2024 371 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 39,158 1,880 $20.09M
S5140 Foster care, adult; per diem 2,382 89 $465K
T2035 Utility services to support medical equipment and assistive technology/devices, waiver 248 246 $14K