MANNA HEALTHCARE INC
NPI: 1326707092
· MONTCLAIR, CA 91763
· Adult Day Care Clinic/Center
· NPI assigned 12/10/2021
$747K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, WI (CEO) |
| NPI Enumeration Date | 12/10/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
8,536 |
$747K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
8,414 |
640 |
$735K |
| H2000 |
Comprehensive multidisciplinary evaluation |
122 |
54 |
$12K |