COMMUNITY SUPPORT NETWORK
NPI: 1386869246
· SANTA ROSA, CA 95404
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 04/16/2007
$987K
Total Medicaid Paid
Provider Details
| Authorized Official | BIERI, TOM (EXECUTIVE DIRECTOR) |
| Parent Organization | COMMUNITY SUPPORT NETWORK |
| NPI Enumeration Date | 04/16/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
94 |
$18K |
| 2023 |
1,855 |
$451K |
| 2024 |
2,252 |
$519K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G9012 |
Other specified case management service not elsewhere classified |
2,771 |
1,477 |
$579K |
| H0043 |
Supported housing, per diem |
557 |
554 |
$215K |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
873 |
495 |
$194K |