Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › STOCKTON › ST. MARY'S DINING ROOM

ST. MARY'S DINING ROOM

NPI: 1063135762 · STOCKTON, CA 95203 · 251V00000X

$79K
Total Medicaid Paid
818
Total Claims
418
Beneficiaries
4
Codes Billed
2024-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 818 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9012 Other specified case mgmt 730 352 $53K
H2016 Comp comm supp svc, per diem 54 39 $16K
T2051 Support broker waiver/diem 17 14 $5K
H0043 Supported housing, per diem 17 13 $5K