Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maine for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maine only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maine (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Penobscot Community Health Center (NPI 1568555498)

Field	Value
Entity Type	Organization
Organization	Penobscot Community Health Center
Address	6 Telcom Dr
City	Bangor
State	ME
ZIP	04401
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicaid	$27.3M
Medicare	$0

Key Findings

PENOBSCOT COMMUNITY HEALTH CENTER reports $27.3M in lifetime Medicaid revenue and has no Medicare billing on file; the provider is effectively a Medicaid-focused operation rather than a mixed Medicare/Medicaid practice. The absence of Medicare claims means comparisons to national Medicare peers are not possible for this entity, so analysis should focus on its Medicaid footprint and state-level competitive positioning.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 98.6% of this provider’s total Medicaid revenue. Those three are T1015 ($26.7M, 97.6% of Medicaid revenue), 99213 ($146.8K, 0.5%), and G0008 ($135.2K, 0.5%), indicating that T1015 overwhelmingly drives the financial picture.

The code mix and taxonomy (Federally Qualified Health Center) indicate operational reliance on bundled FQHC encounter payments: T1015 (Clinic visit/encounter, all-inclusive) dominates billing, consistent with a high-volume, visit-based primary care model that likely packages multiple services per encounter. Supporting codes for immunizations (G0008, G0009) and well visits (99392, 99393, 99394) further suggest integrated primary care, preventive, and vaccination programs delivered through the FQHC structure.

Competitive standing in-state is strong on key primary-care and preventive metrics: T1015 ranks #1 of 180 providers in Maine (100th percentile; extreme outlier), signaling a dominant position statewide for FQHC encounter volume. Other high-volume codes also place well — 99213 ranks #13 of 483 (98th percentile; notably above typical) and G0008 ranks #5 of 256 (98th percentile; extreme outlier) — reinforcing that this center is a major Medicaid provider for routine visits and immunizations in Maine.

Behavioral health services are a meaningful secondary service line based on Medicaid claims for psychotherapy: 90834 (11.3K claims, $56.4K) ranks #8 of 134 (95th percentile; notably above typical state volume) and 90837 (4.4K claims, $17.8K) ranks #9 of 144 (94th percentile; typical, unremarkable). These volumes indicate an integrated behavioral health offering within the primary care footprint, with some psychotherapy codes notably elevated versus peers.

Pediatrics and preventive care appear prominent: well-patient codes show elevated state rankings and volumes — 99393 (10.1K claims, $20.1K) ranks #1 of 84 (100th percentile; extreme outlier), 99392 (10.4K claims, $20.8K) ranks #3 of 72 (97th percentile; notably above typical), and 99394 (6.2K claims, $12.3K) ranks #2 of 85 (99th percentile; extreme outlier). This pattern signals a substantial focus on child and adolescent preventive services alongside the center’s general primary-care activity.

The extremely high dependence on a single bundled encounter code (T1015 at $26.7M, 97.6% of Medicaid revenue) creates operational and reimbursement sensitivity: changes to Medicaid FQHC encounter payment policy, per-encounter reimbursement, or encounter-billing eligibility could materially affect revenue. Analysts and payers should treat Medicaid payment policy shifts for FQHC encounters as the primary lever for financial impact on this provider.

PENOBSCOT COMMUNITY HEALTH CENTER has an established presence with an NPI enumerated on 2006-10-02 (~20 years ago), consistent with a long-tenured FQHC operating at scale in its market. Its tenure plus the concentrated, high-volume state rankings suggest entrenched patient flow and capability to deliver bundled FQHC services at significant scale in Maine.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

79 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	138,250	$190	$26.7M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	48,950	$1	$146.8K
G0008	Administration of influenza virus vaccine	13,520	$10	$135.2K
G0009	Administration of pneumococcal vaccine	6,010	$10	$60.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	11,280	$10	$56.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	19,730	$1	$39.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	13,360	$1	$26.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	10,380	$1	$20.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	10,060	$1	$20.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,450	$1	$17.8K

Showing 1–10 of 79

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.

Claims Volume vs. Maine Distribution

Penobscot Community Health Center — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

79 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	180	8,540	$180	$3M
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…	77	80	3,000	$50	$269.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	35	460	1,240	$30	$190K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	13	480	1,030	$20	$128.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3	70	1,060	$40	$97K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5	70	1,000	$40	$91K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	3	30	240	$60	$74.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	27	50	110	$60	$72.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	33	170	380	$50	$63.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1	80	540	$40	$61.6K

Showing 1–10 of 79

Related Providers

Other providers that share a Tax Identification Number (TIN) with Penobscot Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$24.6M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$20.3M
Penobscot Community Health Center	ME	Dentist	$0	$17.4M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$16M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$14.2M
Penobscot Community Health Center	ME	Specialist	$0	$5.6M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$5.6M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$4.1M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$3.2M
Penobscot Community Health Center	ME	Hearing and Speech Clinic/Center	$0	$2.7M

Nearby Providers

Other providers in the same ZIP code as Penobscot Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Maine Medical Center	ME	General Acute Care Hospital	$0	$159.3M
Creative Options, LLC	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$78.7M
Mas Medical Staffing Corporation	ME	Community/Behavioral Health Agency	$0	$62.5M
Ohi	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$61.9M
Ohi	ME	Mental Illness Community Based Residential Treatment Facility	$0	$39.6M
St. Joseph Hospital	ME	General Acute Care Hospital	$0	$38.8M
Mert Enterprises, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$36.3M
Amicus	ME	Developmentally Disabled Services Day Training Agency	$0	$26.1M
Branches, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$25.4M
Lifeflight Of Maine, LLC	ME	Air Ambulance	$2.4M	$19.8M

Penobscot Community Health Center — Billing Profile & Reimbursement Data

Sign up for Penobscot Community Health Center — Billing Profile & Reimbursement Data policy alerts

Penobscot Community Health Center — Billing Profile & Reimbursement Data

Sign up for Penobscot Community Health Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References