Medicaid Provider Spending

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

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

NPI: 1053474148 · GLENDALE, AZ 85301 · Addiction (Substance Use Disorder) Counselor · NPI assigned 12/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more

$12.90M
Total Medicaid Paid
1,243,601
Total Claims
217,432
Beneficiaries
18
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
NPI Enumeration Date12/19/2006

Related Entities

Other providers sharing the same authorized official: GAITHER, CINDY

ProviderCityStateTotal Paid
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC SCOTTSDALE AZ $43.25M
PREMIER CARE OF INDIANA, INC. MARION IN $33.81M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC WASILLA AK $18.90M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $18.54M
PREMIER CARE OF OHIO LLC CINCINNATI OH $13.13M
PREMIER CARE OF WISCONSIN, LLC. WEST ALLIS WI $11.15M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC TUCSON AZ $10.72M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC YUMA AZ $10.33M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $8.96M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC FARGO ND $8.90M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $7.83M
PREMIER CARE OF OHIO, LLC. LIMA OH $5.35M
PREMIER CARE OF WISCONSIN, LLC. FOND DU LAC WI $4.91M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC ANCHORAGE AK $4.83M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC LAKE HAVASU CITY AZ $4.60M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC MINOT ND $4.16M
PREMIER CARE OF OHIO LLC KETTERING OH $2.67M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $2.49M
PREMIER CARE OF WISCONSIN, LLC. SOUTH MILWAUKEE WI $1.97M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC BUCKEYE AZ $1.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40,416 $149K
2019 151,027 $1.34M
2020 222,486 $2.24M
2021 212,397 $2.29M
2022 240,599 $2.58M
2023 214,715 $2.40M
2024 161,961 $1.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 582,091 46,498 $5.82M
T1016 Case management, each 15 minutes 119,162 28,199 $1.88M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 28,889 23,944 $1.32M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 410,831 44,244 $1.12M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,757 12,915 $804K
H0004 Behavioral health counseling and therapy, per 15 minutes 24,645 20,182 $762K
H0031 Mental health assessment, by non-physician 3,560 3,510 $474K
T1003 Lpn/lvn services, up to 15 minutes 30,079 23,490 $333K
T1002 Rn services, up to 15 minutes 12,382 9,982 $184K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 3,593 296 $61K
H0033 Oral medication administration, direct observation 4,659 525 $58K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 926 899 $36K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 2,327 197 $20K
H0038 Self-help/peer services, per 15 minutes 1,696 1,231 $18K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 3,452 984 $15K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 345 160 $4K
80305 193 163 $1K
93041 14 13 $30.70