PREBLE STREET
NPI: 1871744839
· PORTLAND, ME 04101
· Case Management Agency
· NPI assigned 10/08/2008
$129K
Total Medicaid Paid
Provider Details
| Authorized Official | SWANN, MARK (EXECUTIVE DIRECTOR) |
| Parent Organization | PREBLE STREET |
| NPI Enumeration Date | 10/08/2008 |
Related Entities
Other providers sharing the same authorized official: SWANN, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
73 |
$13K |
| 2021 |
297 |
$50K |
| 2022 |
284 |
$41K |
| 2023 |
153 |
$20K |
| 2024 |
58 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
865 |
620 |
$129K |