Southwest Behavioral Health Services INC
Southwest Behavioral Health Services INC was paid $83.33M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 37% of everything it billed.
PHOENIX, AZ 85012
Next to other Primary Care Clinic/Center providers in Arizona
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 609,574 | $3.54M | |
| 2019 | 531,772 | $8.03M | |
| 2020 | 546,872 | $10.85M | |
| 2021 | 461,101 | $13.25M | |
| 2022 | 479,615 | $16.00M | |
| 2023 | 524,048 | $16.27M | |
| 2024incomplete | 540,190 | $15.38M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 37% | 557,768 | 232,989 | $30.82M |
| T1016 | Case management, each 15 minutes | 22% | 1,049,976 | 364,102 | $18.58M |
| H0031 | Mental health assessment, by non-physician | 11% | 89,948 | 77,106 | $9.50M |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 9.2% | 312,577 | 26,662 | $7.67M |
| 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 | 4.2% | 69,523 | 64,221 | $3.53M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 3.5% | 7,248 | 642 | $2.88M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 3.2% | 15,346 | 616 | $2.63M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.9% | 14,164 | 13,620 | $1.58M |
| H2014 | Skills training and development, per 15 minutes | 1.6% | 243,826 | 24,963 | $1.32M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 14,412 | 13,342 | $1.10M |
| 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% | 12,901 | 12,289 | $682K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 78,258 | 6,724 | $614K |
48 more codes
| H2027 | Psychoeducational service, per 15 minutes | <1% | 28,486 | $362K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 33,884 | $348K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | <1% | 113,714 | $282K |
| H0046 | Mental health services, not otherwise specified | <1% | 82,493 | $203K |
| T1002 | Rn services, up to 15 minutes | <1% | 12,007 | $195K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 25,303 | $110K |
| H0034 | Medication training and support, per 15 minutes | <1% | 11,053 | $90K |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | <1% | 2,439 | $76K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 11,608 | $76K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 5,791 | $70K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 29,317 | $67K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 101,510 | $65K |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | <1% | 133,194 | $63K |
| S5110 | Home care training, family; per 15 minutes | <1% | 1,949 | $48K |
| H0033 | Oral medication administration, direct observation | <1% | 2,662 | $47K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 2,408 | $37K |
| 99335 | <1% | 1,167 | $34K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,144 | $33K |
| T1020 | Help at home with daily living, billed per day | <1% | 38,995 | $29K |
| S9485 | Crisis intervention mental health services, per diem | <1% | 31 | $28K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 99,881 | $27K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 215 | $24K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 14,698 | $23K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 1,820 | $20K |
| 99443 | <1% | 1,242 | $19K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,955 | $19K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 655 | $14K |
| 99442 | <1% | 476 | $5K | |
| 99348 | <1% | 150 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 66 | $4K |
| 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) | <1% | 1,580 | $4K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 2,586 | $2K |
| 99347 | <1% | 147 | $2K | |
| 99336 | <1% | 37 | $1K | |
| 90889 | <1% | 467 | $980.40 | |
| 99349 | <1% | 12 | $513.04 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 27 | $228.33 |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | <1% | 72 | $160.11 |
| 99441 | <1% | 36 | $94.77 | |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 590 | $55.44 |
| H0043 | Supported housing, per diem | 0% | 460,270 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 14 | $0.00 |
| S5151 | Unskilled respite care, not hospice; per diem | 0% | 878 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 65 | $0.00 |
| H2016 | Community support for mental illness or disability, billed per day | 0% | 13 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 13 | $0.00 |
| 0580F | 0% | 14 | $0.00 | |
| G9921 | No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified | 0% | 91 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Southwest Behavioral Health Services, INC. | Kingman, AZ | $8.45M |
| Southwest Behavioral Health Services,inc. | Bullhead City, AZ | $5.99M |
| Southwest Behavioral Health Services | Phoenix, AZ | $5.59M |
| Southwest Behavioral Health Services | Prescott Valley, AZ | $5.44M |
| Southwest Behavioral Health Services, INC. | Bullhead City, AZ | $5.40M |
| Southwest Behavioral Health Services, INC | Flagstaff, AZ | $5.17M |
| Southwest Behavioral Health Services, INC. | Lake Havasu City, AZ | $2.78M |
| Southwest Behavioral Health Service | Buckeye, AZ | $2.58M |
| Southwest Behavioral Health Services | Mesa, AZ | $1.93M |
| Southwest Behavioral Health Services | Phoenix, AZ | $1.75M |
| Southwest Behavioral Health Services, INC. | Phoenix, AZ | $1.61M |
| Southwest Behavioral Health Services, INC. | Kingman, AZ | $1.27M |
| Southwest Behavioral Health | Payson, AZ | $1.21M |
| Southwest Behavioral Health Services INC. | Bullhead City, AZ | $678K |
| Southwest Behavioral Health Services | Phoenix, AZ | $584K |
| Southwest Behavioral Health | Payson, AZ | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.