PINE TREE RECOVERY CENTER, LLC
NPI: 1730673088
· PORTLAND, ME 04103
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 06/20/2018
$2.97M
Total Medicaid Paid
Provider Details
| Authorized Official | BARRETT, JUSTIN (AUTHORIZED OFFIICAL) |
| NPI Enumeration Date | 06/20/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,435 |
$635K |
| 2024 |
7,981 |
$2.34M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
2,898 |
541 |
$1.15M |
| 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 |
4,738 |
544 |
$969K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
2,780 |
201 |
$849K |