NPI: 1740373679 · BANGOR, ME 04401 · Community Health Clinic/Center · NPI assigned 10/02/2006
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 | 10/02/2006 |
Other providers sharing the same authorized official: DWYER, LORI
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,632 | $240K |
| 2019 | 5,680 | $300K |
| 2020 | 3,516 | $229K |
| 2021 | 2,666 | $196K |
| 2022 | 4,403 | $390K |
| 2023 | 9,197 | $1.02M |
| 2024 | 7,344 | $834K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 14,677 | 7,890 | $2.93M |
| 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 | 1,994 | 972 | $142K |
| 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 | 1,996 | 1,624 | $70K |
| 90834 | Psychotherapy, 45 minutes with patient | 8,264 | 3,965 | $38K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 212 | 149 | $13K |
| 90791 | Psychiatric diagnostic evaluation | 1,796 | 1,740 | $10K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,816 | 1,205 | $5K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 89 | 40 | $4K |
| 90837 | Psychotherapy, 53 minutes with patient | 652 | 442 | $3K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,963 | 1,791 | $1K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,924 | 2,136 | $892.92 |
| G0008 | Administration of influenza virus vaccine | 172 | 163 | $517.12 |
| 98927 | 715 | 434 | $20.88 | |
| 98926 | 80 | 64 | $5.69 | |
| 90686 | 43 | 41 | $0.00 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 31 | 30 | $0.00 |
| 90688 | 14 | 14 | $0.00 |