Physician
Spectrum Healthcare Group, INC
Spectrum Healthcare Group, INC was paid $683K by Medicaid between Aug 2019 and Oct 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoSPECTRUM HEALTHCARE GROUP, INC
PRESCOTT, AZ 86305
PRESCOTT, AZ 86305
33aNPI1053834218assigned 07/19/2017
33bProvider typeFamily Medicine Physician
28Total paid$683K
24GClaims11,825
24DCodes billed31
24AFirst – last monthAug 2019 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#90 of 442
Median peer was paid$77K
This provider vs. median8.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BAILEY, CORINNE controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 19 | $691.12 | |
| 2020 | 923 | $34K | |
| 2021 | 7,465 | $402K | |
| 2022 | 1,605 | $110K | |
| 2023 | 1,169 | $92K | |
| 2024incomplete | 644 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 2,883 | 2,411 | $210K |
| H0031 | Mental health assessment, by non-physician | 17% | 537 | 534 | $114K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 15% | 1,764 | 758 | $101K |
| T1016 | Case management, each 15 minutes | 13% | 2,949 | 1,698 | $90K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 702 | 645 | $72K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 284 | 283 | $27K |
| H2014 | Skills training and development, per 15 minutes | 2.1% | 316 | 139 | $14K |
| H2011 | Crisis intervention service, per 15 minutes | 1.3% | 221 | 209 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 443 | 388 | $9K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.0% | 48 | 13 | $7K |
| 80305 | <1% | 354 | 253 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 38 | 38 | $5K |
19 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 63 | $3K |
| 99442 | <1% | 34 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 85 | $3K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 46 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 47 | $2K |
| T1002 | Rn services, up to 15 minutes | <1% | 392 | $2K |
| 0011A | <1% | 55 | $1K | |
| 0012A | <1% | 17 | $451.00 | |
| 90662 | <1% | 16 | $235.86 | |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 47 | $169.25 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 97 | $79.38 |
| 96127 | <1% | 13 | $58.02 | |
| 96160 | <1% | 16 | $42.59 | |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | $25.62 |
| 3008F | 0% | 155 | $0.00 | |
| 3074F | 0% | 90 | $0.00 | |
| 3078F | 0% | 74 | $0.00 | |
| 1159F | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBAILEY, CORINNE (CREDENTIALING/CONTRACTING SPECIALIS)
| Provider | Location | Paid |
|---|---|---|
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $27.51M |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $7.61M |
| Spectrum Healthcare Group, INC | Cottonwood, AZ | $1.68M |
| Spectrum Healthcare Group, INC | Prescott, AZ | $1.53M |
| Spectrum Healthcare Group, INC | Prescott, AZ | $1.30M |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $1.26M |
| Spectrum Healthcare Group, INC. | Camp Verde, AZ | $786K |
| Spectrum Healthcare Group, INC | Cottonwood, AZ | $778K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $330K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $263K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $58K |
| Spectrum Healthcare Group, INC | Camp Verde, AZ | $42K |
| Spectrum Healthcare Group, INC. | Glendale, AZ | $28K |
| Spectrum Healthcare Group, INC | Sedona, AZ | $6K |
| Spectrum Healthcare Group, INC. | Tucson, AZ | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.