Clinic
Penobscot Indian Nation Finance Office
Penobscot Indian Nation Finance Office was paid $5.40M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoPENOBSCOT INDIAN NATION FINANCE OFFICE
INDIAN ISLAND, ME 04468
INDIAN ISLAND, ME 04468
33aNPI1639139140assigned 03/27/2006
33bProvider typeRural Health Clinic/Center
28Total paid$5.40M
24GClaims28,934
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Maine
Rank by total paid#4 of 22
Median peer was paid$1.81M
This provider vs. median3.0×
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
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 | 2,361 | $465K | |
| 2019 | 3,747 | $845K | |
| 2020 | 2,124 | $612K | |
| 2021 | 2,443 | $603K | |
| 2022 | 4,885 | $1.12M | |
| 2023 | 7,966 | $635K | |
| 2024incomplete | 5,408 | $1.12M |
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 | 98% | 14,600 | 8,151 | $5.27M |
| 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 | 1.7% | 432 | 347 | $89K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 465 | 275 | $10K |
| 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% | 1,625 | 1,312 | $9K |
| 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% | 2,421 | 2,009 | $8K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,078 | 1,366 | $2K |
| 0011A | <1% | 74 | 72 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 111 | 92 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 422 | 343 | $1K |
| 0012A | <1% | 41 | 41 | $1K | |
| G0008 | Administration of influenza virus vaccine | <1% | 119 | 117 | $1K |
| 0002A | <1% | 33 | 33 | $702.55 |
27 more codes
| 80305 | <1% | 1,000 | $642.44 | |
| 0064A | <1% | 16 | $559.35 | |
| 90686 | <1% | 94 | $402.26 | |
| 0001A | <1% | 39 | $285.66 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 301 | $235.80 |
| D0190 | <1% | 1,197 | $19.71 | |
| 36416 | 0% | 13 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 1,004 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 143 | $0.00 |
| D1330 | 0% | 94 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 89 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 176 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 16 | $0.00 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 17 | $0.00 |
| 91306 | 0% | 16 | $0.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 16 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 12 | $0.00 |
| 90674 | 0% | 17 | $0.00 | |
| 83037 | 0% | 12 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 514 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 48 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 353 | $0.00 |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 0% | 58 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 150 | $0.00 |
| 99442 | 0% | 15 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 91 | $0.00 |
| 91300 | 0% | 12 | $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 officialHINES, NICOLE (ASSISTANT DIRECTOR)
Parent organizationPENOBSCOT INDIAN NATION FINANCE OFFICE