GOOD SAMARITAN
NPI: 1063121523
· SANTA MARIA, CA 93458
· Supports Brokerage Agency
· NPI assigned 11/23/2022
$1.49M
Total Medicaid Paid
Provider Details
| Authorized Official | JENSEN, CHELSEA (MENTAL HEALTH DIRECTOR) |
| NPI Enumeration Date | 11/23/2022 |
Related Entities
Other providers sharing the same authorized official: JENSEN, CHELSEA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,187 |
$457K |
| 2024 |
2,831 |
$1.03M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2050 |
Financial management, self-directed, waiver; per diem |
1,772 |
1,762 |
$784K |
| H0043 |
Supported housing, per diem |
1,907 |
1,691 |
$658K |
| H2016 |
Comprehensive community support services, per diem |
134 |
134 |
$50K |
| H0044 |
Supported housing, per month |
205 |
139 |
$0.00 |