GRACE STREET SERVICES LLC
NPI: 1639483233
· LEWISTON, ME 04240
· Community/Behavioral Health Agency
· NPI assigned 08/06/2010
$693K
Total Medicaid Paid
Provider Details
| Authorized Official | OBRIEN, MARTIN (DIRECTOR) |
| NPI Enumeration Date | 08/06/2010 |
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 |
Behavioral health counseling and therapy, per 15 minutes |
6,726 |
2,590 |
$368K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
2,246 |
311 |
$213K |
| H2010 |
Comprehensive medication services, per 15 minutes |
1,740 |
1,426 |
$107K |
| H2000 |
Comprehensive multidisciplinary evaluation |
25 |
25 |
$4K |