Medicaid Provider Spending

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

PENOBSCOT COMMUNITY HEALTH CENTER

NPI: 1841475712 · BREWER, ME 04412 · Federally Qualified Health Center (FQHC) · NPI assigned 01/09/2008

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

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

$24.58M
Total Medicaid Paid
339,958
Total Claims
239,989
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDWYER, LORI (PRESIDENT & CEO)
Parent OrganizationPENOBSCOT COMMUNITY HEALTH CENTER
NPI Enumeration Date01/09/2008

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 BANGOR ME $20.27M
PENOBSCOT COMMUNITY HEALTH CENTER BANGOR ME $17.44M
PENOBSCOT COMMUNITY HEALTH CENTER OLD TOWN ME $15.97M
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 44,057 $2.51M
2019 54,470 $3.29M
2020 46,810 $3.06M
2021 55,882 $3.60M
2022 54,348 $3.60M
2023 45,732 $4.44M
2024 38,659 $4.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 121,242 72,794 $21.72M
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 31,446 24,995 $1.66M
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,934 2,220 $309K
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 3,739 1,818 $187K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 66,816 54,007 $174K
80305 8,873 6,687 $64K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27,050 23,879 $64K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 6,335 2,810 $57K
90834 Psychotherapy, 45 minutes with patient 14,526 7,123 $57K
90832 Psychotherapy, 30 minutes with patient 14,045 7,662 $55K
98940 3,772 1,955 $36K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,962 1,277 $34K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,405 712 $30K
G0008 Administration of influenza virus vaccine 2,506 2,440 $19K
96160 4,676 4,042 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,918 3,669 $11K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 126 123 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 853 793 $8K
97161 301 265 $7K
71046 Radiologic examination, chest; 2 views 646 600 $7K
90853 Group psychotherapy (other than of a multiple-family group) 1,345 833 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,282 1,250 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,899 2,760 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 334 289 $5K
11721 1,611 1,584 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,505 2,325 $5K
90792 Psychiatric diagnostic evaluation with medical services 219 213 $3K
90686 1,293 1,264 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 274 269 $3K
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 45 44 $2K
0124A 65 65 $2K
99215 Prolong outpt/office vis 496 475 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,320 1,221 $2K
96127 644 612 $945.75
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 55 55 $685.12
73630 48 45 $685.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 15 15 $484.84
94760 2,459 2,310 $418.04
11056 399 394 $375.71
72100 27 26 $314.27
90715 471 459 $303.15
90837 Psychotherapy, 53 minutes with patient 208 113 $263.22
90674 12 12 $263.22
G0009 Administration of pneumococcal vaccine 77 73 $256.08
11055 51 49 $189.15
90688 392 381 $175.94
99401 145 145 $172.90
97010 128 50 $172.90
90791 Psychiatric diagnostic evaluation 647 632 $157.39
81003 89 64 $130.39
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 724 681 $80.05
69209 30 28 $36.70
90472 Immunization administration, each additional vaccine (list separately) 245 237 $15.78
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 418 395 $4.72
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 80 80 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 45 44 $0.00
91312 65 65 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 54 54 $0.00
G0127 Trimming of dystrophic nails, any number 14 14 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24 24 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 12 12 $0.00
90658 40 38 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $0.00
11720 13 13 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 12 12 $0.00
90656 83 83 $0.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 265 251 $0.00
90732 12 12 $0.00
97014 84 36 $0.00