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PENOBSCOT COMMUNITY HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·BANGOR, ME·NPI: 1427169010Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.3M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.3M

$20,274,561

Total Claims

294K

Beneficiaries

222K

1.3 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+23%
2019
$2.9M
-13%
2020
$2.5M
+12%
2021
$2.8M
-4%
2022
$2.7M
+47%
2023
$3.9M
-18%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 85% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$17.1M

96K claims · 84.6%

Your Cost: $178.77/claim|Median: $121.16
1.5× median
G0467Top 25%

Federally qualified health center visit, mental health

$1.5M

28K claims · 7.3%

Your Cost: $53.32/claim|Median: $21.91
2.4× median
G2025Top 5%

$613K

5,770 claims · 3.0%

Your Cost: $106.19/claim|Median: $15.63
6.8× median
G0470Normal range

Chronic care management services, FQHC/RHC

$291K

5,917 claims · 1.4%

Your Cost: $49.20/claim|Median: $45.95
1.1× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$136K

51K claims · 0.7%

Your Cost: $2.67/claim|Median: $37.81
0.1× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$107K

9,653 claims · 0.5%

Your Cost: $11.06/claim|Median: $20.83
0.5× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$82K

31K claims · 0.4%

Your Cost: $2.63/claim|Median: $53.41
0.0× median
80305Normal range

$54K

7,218 claims · 0.3%

Your Cost: $7.46/claim|Median: $7.44
1.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$39K

1,121 claims · 0.2%

Your Cost: $34.38/claim|Median: $33.85
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$38K

1,172 claims · 0.2%

Your Cost: $32.13/claim|Median: $25.93
1.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$35K

1,005 claims · 0.2%

Your Cost: $34.79/claim|Median: $33.72
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$33K

935 claims · 0.2%

Your Cost: $35.00/claim|Median: $36.70
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$33K

12K claims · 0.2%

Your Cost: $2.62/claim|Median: $63.65
0.0× median
0071ANormal range

$21K

625 claims · 0.1%

Your Cost: $33.90/claim|Median: $38.71
0.9× median
0072ANormal range

$20K

672 claims · 0.1%

Your Cost: $29.41/claim|Median: $39.57
0.7× median
G0008Normal range

$19K

2,579 claims · 0.1%

Your Cost: $7.32/claim|Median: $2.54
2.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$17K

1,571 claims · 0.1%

Your Cost: $10.57/claim|Median: $72.71
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$15K

1,174 claims · 0.1%

Your Cost: $12.64/claim|Median: $76.06
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$15K

5,315 claims · 0.1%

Your Cost: $2.75/claim|Median: $41.28
0.1× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$11K

336 claims · 0.1%

Your Cost: $33.32/claim|Median: $32.49
1.0× median
0064ANormal range

$10K

339 claims · 0.0%

Your Cost: $28.63/claim|Median: $34.17
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$8K

2,136 claims · 0.0%

Your Cost: $3.96/claim|Median: $25.06
0.2× median
0004ANormal range

$7K

254 claims · 0.0%

Your Cost: $25.77/claim|Median: $35.62
0.7× median
G0511Top 10%

RHC/FQHC visit, psychiatric collaborative care model

$6K

95 claims · 0.0%

Your Cost: $59.24/claim|Median: $11.35
5.2× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$5K

174 claims · 0.0%

Your Cost: $28.07/claim|Median: $36.49
0.8× median
96160Normal range

Patient-focused health risk assessment

$5K

3,632 claims · 0.0%

Your Cost: $1.30/claim|Median: $2.10
0.6× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$3K

1,324 claims · 0.0%

Your Cost: $2.05/claim|Median: $57.85
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$2K

1,068 claims · 0.0%

Your Cost: $2.33/claim|Median: $40.11
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

1,543 claims · 0.0%

Your Cost: $1.53/claim|Median: $9.56
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$2K

419 claims · 0.0%

Your Cost: $4.55/claim|Median: $85.66
0.1× median
0124ANormal range

$2K

47 claims · 0.0%

Your Cost: $34.62/claim|Median: $34.32
1.0× median
0054ANormal range

$2K

46 claims · 0.0%

Your Cost: $34.57/claim|Median: $35.83
1.0× median
91320Top 25%

$2K

14 claims · 0.0%

Your Cost: $112.37/claim|Median: $72.65
1.5× median
69209Top 25%

$1K

74 claims · 0.0%

Your Cost: $19.32/claim|Median: $8.70
2.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$1K

1,312 claims · 0.0%

Your Cost: $1.09/claim|Median: $7.18
0.2× median
98940Normal range

$1K

999 claims · 0.0%

Your Cost: $1.41/claim|Median: $14.55
0.1× median
99350Normal range

$1K

441 claims · 0.0%

Your Cost: $3.07/claim|Median: $35.62
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$1K

1,013 claims · 0.0%

Your Cost: $1.32/claim|Median: $74.09
0.0× median
90688Normal range

$1K

466 claims · 0.0%

Your Cost: $2.64/claim|Median: $9.00
0.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$1K

127 claims · 0.0%

Your Cost: $9.45/claim|Median: $11.48
0.8× median
G0468Normal range

$983

41 claims · 0.0%

Your Cost: $23.98/claim|Median: $43.74
0.5× median
99348Normal range

$914

1,027 claims · 0.0%

Your Cost: $0.89/claim|Median: $17.17
0.1× median
0052ANormal range

$555

17 claims · 0.0%

Your Cost: $32.63/claim|Median: $37.79
0.9× median
90853Normal range

Group psychotherapy

$536

373 claims · 0.0%

Your Cost: $1.44/claim|Median: $25.02
0.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$487

621 claims · 0.0%

Your Cost: $0.78/claim|Median: $16.79
0.0× median
0034ANormal range

$485

15 claims · 0.0%

Your Cost: $32.32/claim|Median: $35.00
0.9× median
0051ANormal range

$481

13 claims · 0.0%

Your Cost: $36.98/claim|Median: $36.92
1.0× median
0134ANormal range

$481

13 claims · 0.0%

Your Cost: $36.98/claim|Median: $33.54
1.1× median
90480Normal range

$469

14 claims · 0.0%

Your Cost: $33.52/claim|Median: $25.29
1.3× median
0013ANormal range

$447

14 claims · 0.0%

Your Cost: $31.96/claim|Median: $35.38
0.9× median

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