Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AZ › Buckeye › NPI 1134780992
Behavioral

Community Medical Services Arizona-Private, LLC

Community Medical Services Arizona-Private, LLC was paid $1.84M by Medicaid between Feb 2020 and Dec 2024, across 12 billing codes. Its largest line is H2010, Comprehensive medication services, per 15 minutes — 38% of everything it billed.

33Billing provider infoCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
BUCKEYE, AZ 85326
33aNPI1134780992assigned 06/24/2019
28Total paid$1.84M
24GClaims161,866
24DCodes billed12
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Arizona

Rank by total paid#43 of 107
Median peer was paid$636K
This provider vs. median2.9×

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 GAITHER, CINDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
202010,486$103K
202121,436$243K
202249,687$554K
202340,738$450K
2024incomplete39,519$489K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2010 Comprehensive medication services, per 15 minutes 38% 71,419 6,484 $700K
T1016 Case management, each 15 minutes 16% 20,130 5,476 $286K
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 10% 3,027 2,406 $188K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 7.7% 49,612 6,344 $141K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7.6% 2,297 1,670 $139K
H0031 Mental health assessment, by non-physician 7.1% 965 937 $131K
H0004 Behavioral health counseling and therapy, per 15 minutes 6.4% 4,008 3,544 $118K
T1003 Lpn/lvn services, up to 15 minutes 5.6% 7,851 4,948 $102K
H0033 Oral medication administration, direct observation 1.0% 1,499 163 $19K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) <1% 559 123 $6K
H0038 Self-help/peer services, per 15 minutes <1% 343 288 $5K
T1002 Rn services, up to 15 minutes <1% 156 143 $2K

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 officialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Same official

Other billing entities under GAITHER, CINDY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.