Clinic
Penobscot Community Health Center
Penobscot Community Health Center was paid $24.58M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoPENOBSCOT COMMUNITY HEALTH CENTER
BREWER, ME 04412
BREWER, ME 04412
33aNPI1841475712assigned 01/09/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$24.58M
24GClaims339,958
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maine
Rank by total paid#1 of 76
Median peer was paid$1.58M
This provider vs. median16×
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.
Entity ProliferationAuthorized official DWYER, LORI controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 38,659 | $4.08M |
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 | 88% | 121,242 | 72,794 | $21.72M |
| 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 | 6.7% | 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 | 1.3% | 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 | <1% | 3,739 | 1,818 | $187K |
| 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% | 66,816 | 54,007 | $174K |
| 80305 | <1% | 8,873 | 6,687 | $64K | |
| 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% | 27,050 | 23,879 | $64K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 6,335 | 2,810 | $57K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 14,526 | 7,123 | $57K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 14,045 | 7,662 | $55K |
| 98940 | <1% | 3,772 | 1,955 | $36K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 2,962 | 1,277 | $34K |
57 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,405 | $30K |
| G0008 | Administration of influenza virus vaccine | <1% | 2,506 | $19K |
| 96160 | <1% | 4,676 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,918 | $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 | <1% | 126 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 853 | $8K |
| 97161 | <1% | 301 | $7K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 646 | $7K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,345 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,282 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,899 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 334 | $5K |
| 11721 | <1% | 1,611 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,505 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 219 | $3K |
| 90686 | <1% | 1,293 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 274 | $3K |
| G0466 | Community health center visit, new patient | <1% | 45 | $2K |
| 0124A | <1% | 65 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 496 | $2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,320 | $2K |
| 96127 | <1% | 644 | $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 | <1% | 55 | $685.12 |
| 73630 | <1% | 48 | $685.03 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 15 | $484.84 |
| 94760 | <1% | 2,459 | $418.04 | |
| 11056 | <1% | 399 | $375.71 | |
| 72100 | <1% | 27 | $314.27 | |
| 90715 | <1% | 471 | $303.15 | |
| 90837 | Psychotherapy session, about an hour | <1% | 208 | $263.22 |
| 90674 | <1% | 12 | $263.22 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 77 | $256.08 |
| 11055 | <1% | 51 | $189.15 | |
| 90688 | <1% | 392 | $175.94 | |
| 99401 | <1% | 145 | $172.90 | |
| 97010 | <1% | 128 | $172.90 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 647 | $157.39 |
| 81003 | <1% | 89 | $130.39 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 724 | $80.05 |
| 69209 | <1% | 30 | $36.70 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 245 | $15.78 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 418 | $4.72 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 80 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 45 | $0.00 |
| 91312 | 0% | 65 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 54 | $0.00 |
| G0127 | Trimming of dystrophic nails, any number | 0% | 14 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 24 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 12 | $0.00 |
| 90658 | 0% | 40 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 12 | $0.00 |
| 11720 | 0% | 13 | $0.00 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 12 | $0.00 |
| 90656 | 0% | 83 | $0.00 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 265 | $0.00 |
| 90732 | 0% | 12 | $0.00 | |
| 97014 | 0% | 84 | $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 officialDWYER, LORI (PRESIDENT & CEO)
Parent organizationPENOBSCOT COMMUNITY HEALTH CENTER
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.