MORONGO BASIN ARCH
NPI: 1649963125
· JOSHUA TREE, CA 92252
· Lodging Provider
· NPI assigned 05/31/2023
$181K
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, ASTRID (PRESIDENT) |
| NPI Enumeration Date | 05/31/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
44 |
$24K |
| 2024 |
294 |
$157K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
229 |
228 |
$123K |
| H0043 |
Supported housing, per diem |
109 |
109 |
$58K |