Penobscot Community Health Center
Penobscot Community Health Center was paid $574K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
JACKMAN, ME 04945
Next to other Federally Qualified Health Center (FQHC) providers in Maine
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,166 | $100K | |
| 2019 | 1,183 | $72K | |
| 2020 | 457 | $44K | |
| 2021 | 695 | $66K | |
| 2022 | 783 | $69K | |
| 2023 | 1,016 | $113K | |
| 2024incomplete | 858 | $109K |
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 | 86% | 2,724 | 2,134 | $495K |
| 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 | 13% | 1,501 | 1,179 | $76K |
| 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% | 1,156 | 1,012 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 582 | 506 | $605.01 |
| G0008 | Administration of influenza virus vaccine | <1% | 29 | 28 | $120.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 18 | 16 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 52 | 50 | $0.00 |
| 99307 | 0% | 62 | 61 | $0.00 | |
| 96160 | 0% | 34 | 28 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.