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PENOBSCOT COMMUNITY HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·BANGOR, ME·NPI: 1568555498Share

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 $27.3M 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

$27.3M

$27,305,347

Total Claims

379K

Beneficiaries

319K

1.2 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+9%
2019
$3.5M
-13%
2020
$3.0M
+4%
2021
$3.1M
+15%
2022
$3.6M
+48%
2023
$5.3M
+4%
2024
$5.5M

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 98% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$26.6M

138K claims · 97.6%

Your Cost: $192.70/claim|Median: $121.16
1.6× median
99213Normal range

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

$163K

49K claims · 0.6%

Your Cost: $3.33/claim|Median: $37.81
0.1× median
G0008Top 25%

$132K

14K claims · 0.5%

Your Cost: $9.73/claim|Median: $2.54
3.8× median
G0009Normal range

$59K

6,014 claims · 0.2%

Your Cost: $9.86/claim|Median: $4.11
2.4× median
90834Normal range

Psychotherapy, 45 minutes

$51K

11K claims · 0.2%

Your Cost: $4.51/claim|Median: $63.65
0.1× median
99214Normal range

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

$40K

20K claims · 0.1%

Your Cost: $2.01/claim|Median: $53.41
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$25K

13K claims · 0.1%

Your Cost: $1.87/claim|Median: $11.79
0.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$23K

10K claims · 0.1%

Your Cost: $2.30/claim|Median: $74.82
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$19K

10K claims · 0.1%

Your Cost: $1.83/claim|Median: $75.18
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$16K

4,448 claims · 0.1%

Your Cost: $3.55/claim|Median: $85.66
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$15K

1,406 claims · 0.1%

Your Cost: $10.78/claim|Median: $74.09
0.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$13K

4,130 claims · 0.0%

Your Cost: $3.21/claim|Median: $77.33
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$13K

6,153 claims · 0.0%

Your Cost: $2.13/claim|Median: $80.15
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$13K

8,040 claims · 0.0%

Your Cost: $1.56/claim|Median: $69.35
0.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$12K

1,187 claims · 0.0%

Your Cost: $10.48/claim|Median: $11.48
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$11K

2,143 claims · 0.0%

Your Cost: $4.94/claim|Median: $25.06
0.2× median
83655Normal range

$8K

727 claims · 0.0%

Your Cost: $11.67/claim|Median: $10.49
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$8K

11K claims · 0.0%

Your Cost: $0.78/claim|Median: $7.18
0.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$8K

8,450 claims · 0.0%

Your Cost: $0.93/claim|Median: $9.80
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$7K

4,177 claims · 0.0%

Your Cost: $1.69/claim|Median: $41.28
0.0× median
90474Normal range

$6K

597 claims · 0.0%

Your Cost: $9.50/claim|Median: $8.42
1.1× median
G0467Top 10%

Federally qualified health center visit, mental health

$3K

28 claims · 0.0%

Your Cost: $99.46/claim|Median: $21.91
4.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$3K

2,868 claims · 0.0%

Your Cost: $0.96/claim|Median: $3.67
0.3× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$3K

1,086 claims · 0.0%

Your Cost: $2.44/claim|Median: $73.46
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$2K

694 claims · 0.0%

Your Cost: $3.54/claim|Median: $72.71
0.0× median
85018Normal range

$2K

948 claims · 0.0%

Your Cost: $2.29/claim|Median: $1.71
1.3× median
90480Top 25%

$2K

56 claims · 0.0%

Your Cost: $38.57/claim|Median: $25.29
1.5× median
96160Normal range

Patient-focused health risk assessment

$757

1,384 claims · 0.0%

Your Cost: $0.55/claim|Median: $2.10
0.3× median
90672Normal range

$712

101 claims · 0.0%

Your Cost: $7.04/claim|Median: $3.59
2.0× median
90791Normal range

Psychiatric diagnostic evaluation

$567

335 claims · 0.0%

Your Cost: $1.69/claim|Median: $99.21
0.0× median
99203Normal range

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

$567

401 claims · 0.0%

Your Cost: $1.42/claim|Median: $57.85
0.0× median
0074ANormal range

$518

14 claims · 0.0%

Your Cost: $36.98/claim|Median: $39.19
0.9× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$470

439 claims · 0.0%

Your Cost: $1.07/claim|Median: $24.33
0.0× median
0081ANormal range

$444

12 claims · 0.0%

Your Cost: $36.98/claim|Median: $38.21
1.0× median
99173Normal range

$374

1,214 claims · 0.0%

Your Cost: $0.31/claim|Median: $2.16
0.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$365

243 claims · 0.0%

Your Cost: $1.50/claim|Median: $10.88
0.1× median
90473Normal range

Immunization admin, intranasal, first

$240

411 claims · 0.0%

Your Cost: $0.59/claim|Median: $9.17
0.1× median
90633Normal range

$198

3,412 claims · 0.0%

Your Cost: $0.06/claim|Median: $3.56
0.0× median
90698Normal range

$189

2,656 claims · 0.0%

Your Cost: $0.07/claim|Median: $6.32
0.0× median
90651Normal range

HPV vaccine, 9-valent

$185

3,309 claims · 0.0%

Your Cost: $0.06/claim|Median: $8.93
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$176

494 claims · 0.0%

Your Cost: $0.36/claim|Median: $6.61
0.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$158

116 claims · 0.0%

Your Cost: $1.36/claim|Median: $12.70
0.1× median
81003Top 25%

Urinalysis, automated without microscopy

$94

44 claims · 0.0%

Your Cost: $2.14/claim|Median: $1.48
1.4× median
90670Normal range

$4

5,095 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
0.0× median
69210Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.74
90792Normal range

Psychiatric diagnostic evaluation with medical services

$0

68 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

205 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.92
99358Normal range

$0

60 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.34
90619Normal range

$0

1,388 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.36

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