Physician
Penobscot Community Health Center
Penobscot Community Health Center was paid $15.97M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoPENOBSCOT COMMUNITY HEALTH CENTER
OLD TOWN, ME 04468
OLD TOWN, ME 04468
33aNPI1629161559assigned 10/02/2006
33bProvider typeFamily Medicine Physician
28Total paid$15.97M
24GClaims218,923
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Maine
Rank by total paid#1 of 84
Median peer was paid$67K
This provider vs. median237×
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.
Entity ProliferationAuthorized official DWYER, LORI controls 20+ related entities in our dataset. Read more
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 | 31,217 | $1.79M | |
| 2019 | 30,169 | $1.76M | |
| 2020 | 27,104 | $1.71M | |
| 2021 | 31,891 | $2.04M | |
| 2022 | 35,754 | $2.38M | |
| 2023 | 33,980 | $3.24M | |
| 2024incomplete | 28,808 | $3.05M |
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 | 89% | 76,064 | 53,835 | $14.21M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 6.5% | 19,654 | 15,389 | $1.04M |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.1% | 1,655 | 1,278 | $182K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 2,596 | 1,447 | $143K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 36,674 | 31,675 | $112K |
| 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 | <1% | 26,333 | 23,411 | $71K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,731 | 3,863 | $32K |
| G0008 | Administration of influenza virus vaccine | <1% | 3,420 | 3,328 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,913 | 4,323 | $29K |
| 80305 | <1% | 2,122 | 1,498 | $13K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,151 | 1,470 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,515 | 1,367 | $9K |
65 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 616 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,368 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 677 | $7K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,664 | $5K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,278 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,872 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 163 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,002 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,664 | $3K |
| 11721 | <1% | 1,230 | $3K | |
| 96127 | <1% | 1,219 | $3K | |
| G0009 | Administration of pneumococcal vaccine | <1% | 403 | $3K |
| 98940 | <1% | 870 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,872 | $3K |
| 98943 | <1% | 101 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,153 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 282 | $2K |
| 73630 | <1% | 171 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 746 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 299 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,082 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 67 | $1K |
| 90686 | <1% | 2,258 | $1K | |
| G0466 | Community health center visit, new patient | <1% | 37 | $1K |
| 96160 | <1% | 1,558 | $1K | |
| 90480 | <1% | 26 | $997.33 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 409 | $904.43 |
| 94760 | <1% | 2,792 | $755.88 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 243 | $590.02 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 27 | $499.97 |
| 99173 | <1% | 1,123 | $430.64 | |
| 90715 | <1% | 694 | $377.77 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 392 | $304.03 |
| 69209 | <1% | 101 | $270.13 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,687 | $172.90 |
| 81003 | <1% | 88 | $136.35 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 17 | $23.79 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 39 | $12.32 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 152 | $10.83 |
| 98929 | <1% | 41 | $8.84 | |
| 90656 | <1% | 180 | $1.07 | |
| 80061 | Lipid panel | 0% | 241 | $0.00 |
| 17110 | 0% | 12 | $0.00 | |
| 90734 | 0% | 69 | $0.00 | |
| 90670 | 0% | 149 | $0.00 | |
| 90633 | 0% | 24 | $0.00 | |
| 90785 | 0% | 227 | $0.00 | |
| 90658 | 0% | 18 | $0.00 | |
| 90671 | 0% | 38 | $0.00 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 13 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 12 | $0.00 |
| 99177 | 0% | 27 | $0.00 | |
| 90685 | 0% | 17 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 31 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 702 | $0.00 |
| 90688 | 0% | 215 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 155 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 149 | $0.00 |
| 90651 | 0% | 45 | $0.00 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 155 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 79 | $0.00 |
| 11055 | 0% | 12 | $0.00 | |
| 85027 | 0% | 14 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 13 | $0.00 |
| 90619 | 0% | 15 | $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 officialDWYER, LORI (PRESIDENT & CEO)
Parent organizationPENOBSCOT COMMUNITY HEALTH CENTER
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.