THE EDGE COMMUNITY CHURCH OF SUISUN
NPI: 1508549668
· VALLEJO, CA 94590
· Case Manager/Care Coordinator
· NPI assigned 08/07/2023
$194K
Total Medicaid Paid
Provider Details
| Authorized Official | LUCIANO, GERMAINE (EXECUTIVE ADMIN) |
| Parent Organization | THE EDGE COMMUNITY CHURCH OF SUISUN |
| NPI Enumeration Date | 08/07/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
52 |
$20K |
| 2024 |
451 |
$174K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0043 |
Supported housing, per diem |
503 |
499 |
$194K |