SEAGLASS AZ LLC
NPI: 1003567207
· PRESCOTT, AZ 86305
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 01/10/2022
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0018 with only 1 total codes billed. Highly concentrated billing profile.
$1.78M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: VAYSBERG, JANICE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
3,381 |
$827K |
| 2024 |
3,606 |
$954K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
6,987 |
560 |
$1.78M |