ROYAL AZ LLC
NPI: 1245981760
· PRESCOTT, AZ 86305
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 01/17/2022
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0018 with only 1 total codes billed. Highly concentrated billing profile.
$2.66M
Total Medicaid Paid
Provider Details
| Authorized Official | JACKSON, SHANDALEE (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 01/17/2022 |
Related Entities
Other providers sharing the same authorized official: JACKSON, SHANDALEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
5,110 |
$1.23M |
| 2024 |
5,246 |
$1.43M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
10,356 |
828 |
$2.66M |