Residential
American Behavioral Health Systems, INC.
American Behavioral Health Systems, INC. was paid $60.54M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 55% of everything it billed.
33Billing provider infoAMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.
SPOKANE, WA 99208
SPOKANE, WA 99208
33aNPI1073648374assigned 02/23/2007
33bProvider typeSubstance Abuse Rehabilitation Facility
28Total paid$60.54M
24GClaims92,648
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Substance Abuse Rehabilitation Facility providers in Washington
Rank by total paid#1 of 48
Median peer was paid$1.68M
This provider vs. median36×
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.
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 | |
|---|---|---|---|
| 2018 | 24,163 | $407K | |
| 2019 | 12,672 | $9.10M | |
| 2020 | 10,358 | $13.36M | |
| 2021 | 12,318 | $13.74M | |
| 2022 | 12,921 | $7.99M | |
| 2023 | 14,969 | $11.73M | |
| 2024incomplete | 5,247 | $4.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 55% | 27,989 | 8,914 | $33.54M |
| H0017 | Behavioral health; residential (hospital residential treatment program), without room and board, per diem | 15% | 1,119 | 1,072 | $8.91M |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 10% | 5,970 | 3,363 | $6.34M |
| S9485 | Crisis intervention mental health services, per diem | 8.3% | 1,520 | 1,358 | $5.00M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 4.2% | 17,472 | 12,492 | $2.55M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 3.7% | 627 | 489 | $2.26M |
| 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 | <1% | 7,248 | 4,768 | $561K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 10,746 | 6,654 | $474K |
| 96153 | <1% | 8,306 | 1,462 | $426K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,645 | 1,524 | $163K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,378 | 2,323 | $90K |
| H0043 | Supported housing, per diem | <1% | 575 | 277 | $64K |
9 more codes
| 96165 | <1% | 1,250 | $53K | |
| H0001 | Alcohol and/or drug assessment | <1% | 654 | $45K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,496 | $42K |
| 96164 | <1% | 1,592 | $11K | |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | <1% | 16 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 214 | $2K |
| H0046 | Mental health services, not otherwise specified | 0% | 728 | $0.00 |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 0% | 77 | $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 officialSTRETCH, TIFFANY (CFO)
Parent organizationAMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.
| Provider | Location | Paid |
|---|---|---|
| American Behavioral Health Systems, INC. | Spokane Valley, WA | $9.53M |
| American Behavioral Health Systems, INC. | Chehalis, WA | $3.26M |
| American Behavioral Health Systems, INC. | Chehalis, WA | $3.19M |
| American Behavioral Healt Systems, INC. | Wenatchee, WA | $3.03M |
| American Behavioral Health Systems, INC. | Spokane, WA | $351K |
| American Behavioral Health Systems, INC. | Everett, WA | $0.00 |
| American Behavioral Health Systems, INC. | Spokane, WA | $0.00 |
| American Behavioral Healt Systems, INC. | Stanwood, WA | $0.00 |
| American Behavioral Health Systems, INC. | Freeland, WA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.