COMMUNITY OF LA RECUPERATIVE CARE LLC
NPI: 1700555042
· PACOIMA, CA 91331
· Respite Care
· NPI assigned 09/09/2021
$3.37M
Total Medicaid Paid
Provider Details
| Authorized Official | GOMEZ, CLYDE (ADMINISTRATOR) |
| Parent Organization | COMMUNITY OF LA RECUPERATIVE CARE LLC |
| NPI Enumeration Date | 09/09/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,101 |
$350K |
| 2023 |
4,902 |
$1.27M |
| 2024 |
4,156 |
$1.75M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0043 |
Supported housing, per diem |
3,377 |
3,301 |
$1.76M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
6,518 |
385 |
$1.46M |
| T2050 |
Financial management, self-directed, waiver; per diem |
264 |
264 |
$139K |