Agency
OIG excluded
Apache Health, LLC
Apache Health, LLC was paid $3.81M by Medicaid between Mar 2021 and Mar 2023, across 9 billing codes. Its largest line is T1016, Case management, each 15 minutes — 44% of everything it billed.
33Billing provider infoAPACHE HEALTH, LLC
APACHE JUNCTION, AZ 85119
APACHE JUNCTION, AZ 85119
33aNPI1154936953assigned 09/09/2020
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$3.81M
24GClaims4,086
24DCodes billed9
24AFirst – last monthMar 2021 – Mar 2023
Compared with peers
Next to other Community/Behavioral Health Agency providers in Arizona
Rank by total paid#132 of 474
Median peer was paid$1.18M
This provider vs. median3.2×
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.
OIG exclusionListed on the federal exclusion list (10/20/2024).
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 | |
|---|---|---|---|
| 2021 | 1,267 | $956K | |
| 2022 | 2,049 | $2.31M | |
| 2023 | 770 | $545K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 44% | 735 | 410 | $1.67M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 23% | 1,426 | 450 | $879K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 19% | 547 | 381 | $741K |
| H2027 | Psychoeducational service, per 15 minutes | 7.9% | 586 | 384 | $300K |
| H0038 | Self-help/peer services, per 15 minutes | 4.1% | 616 | 419 | $155K |
| H2011 | Crisis intervention service, per 15 minutes | 1.6% | 103 | 51 | $62K |
| H0031 | Mental health assessment, by non-physician | <1% | 25 | 24 | $5K |
| H0001 | Alcohol and/or drug assessment | <1% | 24 | 24 | $881.52 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 24 | 24 | $686.64 |
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 officialIULI, JULIE (OWNER)