MODESTO GOSPEL MISSION
NPI: 1720796907
· MODESTO, CA 95354
· Case Management Agency
· NPI assigned 11/07/2022
$241K
Total Medicaid Paid
Provider Details
| Authorized Official | CONWAY, JASON (CEO) |
| NPI Enumeration Date | 11/07/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
94 |
$241K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
26 |
26 |
$229K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
68 |
50 |
$11K |