Medicaid Provider Spending

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

PENOBSCOT COMMUNITY HEALTH CENTER

NPI: 1629161559 · OLD TOWN, ME 04468 · Family Medicine Physician · NPI assigned 10/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DWYER, LORI controls 20+ related entities in our dataset. Read more

$15.97M
Total Medicaid Paid
218,923
Total Claims
174,514
Beneficiaries
77
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDWYER, LORI (PRESIDENT & CEO)
Parent OrganizationPENOBSCOT COMMUNITY HEALTH CENTER
NPI Enumeration Date10/02/2006

Related Entities

Other providers sharing the same authorized official: DWYER, LORI

ProviderCityStateTotal Paid
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $27.31M
PENOBSCOT COMMUNITY HEALTH CENTER BREWER ME $24.58M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $20.27M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $17.44M
PENOBSCOT COMMUNITY HEALTH CENTER BELFAST ME $14.16M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $5.63M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $5.61M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $3.96M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $3.21M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $2.68M
PENOBSCOT COMMUNITY HEALTH CENTER WINTERPORT ME $1.97M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $770K
PENOBSCOT COMMUNITY HEALTH CENTER JACKMAN ME $574K
PENOBSCOT COMMUNITY HEALTH CENTER BELFAST ME $82K
PENOBSCOT COMMUNITY HEALTH CENTER BREWER ME $63K
PENOBSCOT COMMUNITY HEALTH CENTER OLD TOWN ME $36K
PENOBSCOT COMMUNITY HEALTH CENTER BREWER ME $31K
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $8K
PENOBSCOT COMMUNITY HEALTH CENTER BREWER ME $1K
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $453.32

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 28,808 $3.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 76,064 53,835 $14.21M
G0467 Federally 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 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 1,655 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 2,596 1,447 $143K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,674 31,675 $112K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,333 23,411 $71K
90834 Psychotherapy, 45 minutes with patient 6,731 3,863 $32K
G0008 Administration of influenza virus vaccine 3,420 3,328 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,913 4,323 $29K
80305 2,122 1,498 $13K
90832 Psychotherapy, 30 minutes with patient 2,151 1,470 $10K
99215 Prolong outpt/office vis 1,515 1,367 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 616 574 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,368 2,273 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 677 657 $7K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,664 889 $5K
90837 Psychotherapy, 53 minutes with patient 1,278 806 $5K
90472 Immunization administration, each additional vaccine (list separately) 1,872 1,830 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 163 152 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,002 991 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,664 1,639 $3K
11721 1,230 1,205 $3K
96127 1,219 1,148 $3K
G0009 Administration of pneumococcal vaccine 403 392 $3K
98940 870 431 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,872 1,815 $3K
98943 101 38 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,153 1,126 $2K
71046 Radiologic examination, chest; 2 views 282 260 $2K
73630 171 159 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 746 683 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 299 288 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,082 1,007 $2K
90792 Psychiatric diagnostic evaluation with medical services 67 67 $1K
90686 2,258 2,215 $1K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 37 37 $1K
96160 1,558 1,466 $1K
90480 26 26 $997.33
90853 Group psychotherapy (other than of a multiple-family group) 409 205 $904.43
94760 2,792 2,602 $755.88
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 243 106 $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 27 27 $499.97
99173 1,123 1,101 $430.64
90715 694 677 $377.77
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 392 185 $304.03
69209 101 98 $270.13
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,687 1,650 $172.90
81003 88 83 $136.35
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 15 $23.79
83036 Hemoglobin; glycosylated (A1C) 39 39 $12.32
J1885 Injection, ketorolac tromethamine, per 15 mg 152 140 $10.83
98929 41 39 $8.84
90656 180 179 $1.07
80061 Lipid panel 241 241 $0.00
17110 12 12 $0.00
90734 69 66 $0.00
90670 149 146 $0.00
90633 24 24 $0.00
90785 227 171 $0.00
90658 18 18 $0.00
90671 38 38 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 13 13 $0.00
90791 Psychiatric diagnostic evaluation 12 12 $0.00
99177 27 27 $0.00
90685 17 17 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 31 30 $0.00
80053 Comprehensive metabolic panel 702 678 $0.00
90688 215 206 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 155 149 $0.00
84443 Thyroid stimulating hormone (TSH) 149 148 $0.00
90651 45 45 $0.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 155 142 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 79 74 $0.00
11055 12 12 $0.00
85027 14 13 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13 13 $0.00
90619 15 15 $0.00