PREBLE STREET
NPI: 1205086527
· PORTLAND, ME 04101
· Case Management Agency
· NPI assigned 09/23/2008
$295K
Total Medicaid Paid
Provider Details
| Authorized Official | SWANN, MARK (EXECUTIVE DIRECTOR) |
| Parent Organization | PREBLE STREET |
| NPI Enumeration Date | 09/23/2008 |
Related Entities
Other providers sharing the same authorized official: SWANN, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
271 |
$43K |
| 2019 |
210 |
$22K |
| 2020 |
205 |
$24K |
| 2021 |
385 |
$41K |
| 2022 |
411 |
$50K |
| 2023 |
441 |
$63K |
| 2024 |
365 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
2,288 |
1,759 |
$295K |