Agency
ST. Mary's Dining Room
ST. Mary's Dining Room was paid $79K by Medicaid between Jan 2024 and Nov 2024, across 4 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 67% of everything it billed.
33Billing provider infoST. MARY'S DINING ROOM
STOCKTON, CA 95203
STOCKTON, CA 95203
33aNPI1063135762assigned 09/19/2022
33bProvider typeVoluntary or Charitable Agency
28Total paid$79K
24GClaims818
24DCodes billed4
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers
Next to other Voluntary or Charitable Agency providers in California
Rank by total paid#24 of 35
Median peer was paid$847K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 818 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 67% | 730 | 352 | $53K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 20% | 54 | 39 | $16K |
| T2051 | Supports brokerage, self-directed, waiver; per diem | 6.7% | 17 | 14 | $5K |
| H0043 | Supported housing, per diem | 5.9% | 17 | 13 | $5K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLINDEN, PETRA (CHIEF EXECUTIVE OFFICER)