ST. MARY'S DINING ROOM
NPI: 1063135762
· STOCKTON, CA 95203
· Voluntary or Charitable Agency
· NPI assigned 09/19/2022
Provider Details
| Authorized Official | LINDEN, PETRA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 09/19/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
818 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
730 |
352 |
$53K |
| H2016 |
Comprehensive community support services, per diem |
54 |
39 |
$16K |
| T2051 |
Supports brokerage, self-directed, waiver; per diem |
17 |
14 |
$5K |
| H0043 |
Supported housing, per diem |
17 |
13 |
$5K |