GRACE STREET SERVICES LLC
NPI: 1639483233
· LEWISTON, ME 04240
· 251S00000X
$693K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,185 |
$418K |
| 2019 |
3,588 |
$231K |
| 2020 |
964 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
6,726 |
2,590 |
$368K |
| H0015 |
Alcohol and/or drug services |
2,246 |
311 |
$213K |
| H2010 |
Comprehensive med svc 15 min |
1,740 |
1,426 |
$107K |
| H2000 |
Comp multidisipln evaluation |
25 |
25 |
$4K |