EVERGREEN BEHAVIORAL SERVICES
NPI: 1124101464
· FARMINGTON, ME 04938
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 10/23/2006
$114K
Total Medicaid Paid
Provider Details
| Authorized Official | WELCH, JULIE (OFFICE MANAGER) |
| Parent Organization | FRANKLIN MEMORIAL HOSPITAL |
| NPI Enumeration Date | 10/23/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
735 |
$104K |
| 2019 |
61 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2011 |
Crisis intervention service, per 15 minutes |
454 |
214 |
$97K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
342 |
214 |
$17K |