Supplier
18 Reasons
18 Reasons was paid $1.14M by Medicaid between Sep 2022 and Nov 2024, across 2 billing codes. Its largest line is S9977, Meals, per diem, not otherwise specified — 93% of everything it billed.
33Billing provider info18 REASONS
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
33aNPI1356007025assigned 11/16/2021
33bProvider typeHome Delivered Meals
28Total paid$1.14M
24GClaims10,286
24DCodes billed2
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other Home Delivered Meals providers in California
Rank by total paid#7 of 11
Median peer was paid$1.22M
This provider vs. median0.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration93% of spending on code S9977 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2022 | 379 | $26K | |
| 2023 | 2,784 | $227K | |
| 2024incomplete | 7,123 | $883K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9977 | Meals, per diem, not otherwise specified | 93% | 8,292 | 3,867 | $1.06M |
| S9470 | Nutritional counseling, dietitian visit | 6.7% | 1,994 | 1,527 | $76K |
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 officialGUERRERO, CLAUDIA (PROGRAM DIRECTOR)