SALIDA DEL SOL CBAS, LLC
NPI: 1013795020
· LONG BEACH, CA 90805
· Community Health Clinic/Center
· NPI assigned 09/20/2023
$441K
Total Medicaid Paid
Provider Details
| Authorized Official | LIU, BOYU (MANAGER) |
| Parent Organization | SALIDA DEL SOL CBAS, LLC |
| NPI Enumeration Date | 09/20/2023 |
Related Entities
Other providers sharing the same authorized official: LIU, BOYU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
8,752 |
$441K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
3,969 |
1,018 |
$332K |
| G9012 |
Other specified case management service not elsewhere classified |
4,783 |
1,753 |
$109K |