NPI: 1164484093 · WINDHAM, ME 04062 · 101Y00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,689 | $1.41M |
| 2019 | 2,543 | $1.28M |
| 2020 | 2,575 | $896K |
| 2021 | 4,626 | $496K |
| 2022 | 3,692 | $319K |
| 2023 | 3,514 | $332K |
| 2024 | 2,563 | $465K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2036 | A/d tx program, per diem | 3,276 | 791 | $3.57M |
| H0004 | Alcohol and/or drug services | 13,658 | 5,101 | $917K |
| H2010 | Comprehensive med svc 15 min | 4,816 | 3,437 | $594K |
| T1041 | Comm bh clinic svc per month | 170 | 156 | $62K |
| T1007 | Treatment plan development | 166 | 157 | $41K |
| T2022 | Case management, per month | 12 | 12 | $4K |
| T1017 | Targeted case management | 34 | 12 | $2K |
| 99408 | 12 | 12 | $2K | |
| H0047 | Alcohol/drug abuse svc nos | 12 | 12 | $1K |
| 99214 | 46 | 39 | $730.61 |