Spectrum Healthcare Group, INC
Spectrum Healthcare Group, INC was paid $1.30M by Medicaid between Jul 2019 and Dec 2024, across 14 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 36% of everything it billed.
PRESCOTT, AZ 86305
Next to other Mental Health Counselor 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 | |
|---|---|---|---|
| 2019 | 557 | $25K | |
| 2020 | 877 | $42K | |
| 2021 | 1,670 | $115K | |
| 2022 | 93 | $11K | |
| 2023 | 674 | $60K | |
| 2024incomplete | 12,809 | $1.05M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 36% | 4,215 | 2,224 | $474K |
| T1016 | Case management, each 15 minutes | 25% | 8,146 | 4,996 | $323K |
| H0031 | Mental health assessment, by non-physician | 16% | 783 | 771 | $205K |
| 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 | 13% | 1,595 | 1,486 | $167K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 1,140 | 1,099 | $70K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.7% | 97 | 96 | $22K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.5% | 130 | 60 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 193 | 191 | $9K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 103 | 96 | $8K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 188 | 165 | $4K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 35 | 24 | $887.36 |
| S5110 | Home care training, family; per 15 minutes | <1% | 18 | 12 | $792.93 |
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 |
|---|---|---|
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $27.51M |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $7.61M |
| Spectrum Healthcare Group, INC | Cottonwood, AZ | $1.68M |
| Spectrum Healthcare Group, INC | Prescott, AZ | $1.53M |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $1.26M |
| Spectrum Healthcare Group, INC. | Camp Verde, AZ | $786K |
| Spectrum Healthcare Group, INC | Cottonwood, AZ | $778K |
| Spectrum Healthcare Group, INC | Prescott, AZ | $683K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $330K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $263K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $58K |
| Spectrum Healthcare Group, INC | Camp Verde, AZ | $42K |
| Spectrum Healthcare Group, INC. | Glendale, AZ | $28K |
| Spectrum Healthcare Group, INC | Sedona, AZ | $6K |
| Spectrum Healthcare Group, INC. | Tucson, AZ | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.