NPI: 1952981581 · FOLSOM, CA 95630 · Supports Brokerage Agency · NPI assigned 04/08/2021
| Authorized Official | INOCELDA, KATHLEEN (COO) |
| NPI Enumeration Date | 04/08/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 4,109 | $614K |
| 2023 | 35,455 | $6.98M |
| 2024 | 99,835 | $18.95M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 115,347 | 4,530 | $19.86M |
| G9012 | Other specified case management service not elsewhere classified | 16,186 | 12,584 | $3.27M |
| T2038 | Community transition, waiver; per service | 5,112 | 5,042 | $2.29M |
| H2016 | Comprehensive community support services, per diem | 2,643 | 2,612 | $1.10M |
| H0043 | Supported housing, per diem | 50 | 50 | $20K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 61 | 60 | $10K |