NPI: 1669802849 · JACKMAN, ME 04945 · Federally Qualified Health Center (FQHC) · NPI assigned 11/25/2013
Authorized official DWYER, LORI controls 20+ related entities in our dataset. Read more
| Authorized Official | DWYER, LORI (PRESIDENT & CEO) |
| Parent Organization | PENOBSCOT COMMUNITY HEALTH CENTER |
| NPI Enumeration Date | 11/25/2013 |
Other providers sharing the same authorized official: DWYER, LORI
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,166 | $100K |
| 2019 | 1,183 | $72K |
| 2020 | 457 | $44K |
| 2021 | 695 | $66K |
| 2022 | 783 | $69K |
| 2023 | 1,016 | $113K |
| 2024 | 858 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2,724 | 2,134 | $495K |
| 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 | 1,501 | 1,179 | $76K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,156 | 1,012 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 582 | 506 | $605.01 |
| G0008 | Administration of influenza virus vaccine | 29 | 28 | $120.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 18 | 16 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 52 | 50 | $0.00 |
| 99307 | 62 | 61 | $0.00 | |
| 96160 | 34 | 28 | $0.00 |