OPTIMIST BOYS' HOME AND RANCH, INC.
NPI: 1871622498
· PALMDALE, CA 93551
· Case Manager/Care Coordinator
· NPI assigned 03/02/2007
Provider Details
| Authorized Official | CERVANTES, RUSHMORE (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 03/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
46 |
$6K |
| 2024 |
617 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
393 |
369 |
$82K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
270 |
160 |
$18K |