Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC

NPI: 1003053570 · ARIZONA CITY, AZ 85123 · Community/Behavioral Health Agency · NPI assigned 01/20/2009

$35K
Total Medicaid Paid
173
Total Claims
170
Beneficiaries
1
Codes Billed
2023-10
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLEE, TINA (FINANCE DIRECTOR)
NPI Enumeration Date01/20/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 36 $8K
2024 137 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90792 Psychiatric diagnostic evaluation with medical services 173 170 $35K