NEW TIDES RESIDENTIAL
NPI: 1144812306
· SACO, ME 04072
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 02/09/2021
$855K
Total Medicaid Paid
Provider Details
| Authorized Official | MOORE, SHARON (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 02/09/2021 |
Related Entities
Other providers sharing the same authorized official: MOORE, SHARON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
785 |
$102K |
| 2023 |
2,911 |
$382K |
| 2024 |
2,928 |
$371K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
6,624 |
2,462 |
$855K |