NPI: 1831815786 · LONG BEACH, CA 90807 · Supports Brokerage Agency · NPI assigned 10/12/2022
| Authorized Official | FIELDHOUSE, BRAD (PRESIDENT) |
| Parent Organization | 35-2684582 |
| NPI Enumeration Date | 10/12/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 474 | $178K |
| 2024 | 1,413 | $531K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0043 | Supported housing, per diem | 1,215 | 1,215 | $479K |
| T2050 | Financial management, self-directed, waiver; per diem | 349 | 349 | $155K |
| H0044 | Supported housing, per month | 266 | 140 | $52K |
| H2016 | Comprehensive community support services, per diem | 42 | 42 | $16K |
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | 15 | 15 | $7K |