4TH SECOND
NPI: 1992419709
· VALLEJO, CA 94590
· Supports Brokerage Agency
· NPI assigned 01/06/2023
$278K
Total Medicaid Paid
Provider Details
| Authorized Official | FISHER, EMILY (DIRECTOR OF COMMUNITY HEALTH) |
| NPI Enumeration Date | 01/06/2023 |
Related Entities
Other providers sharing the same authorized official: FISHER, EMILY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
575 |
$135K |
| 2024 |
578 |
$143K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
857 |
433 |
$164K |
| H0043 |
Supported housing, per diem |
256 |
256 |
$99K |
| H2016 |
Comprehensive community support services, per diem |
40 |
40 |
$15K |