Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHOLLA BEHAVIORAL HEALTH LLC

NPI: 1285346536 · PHOENIX, AZ 85021 · Adult Mental Health Clinic/Center · NPI assigned 12/19/2022

$332K
Total Medicaid Paid
895
Total Claims
81
Beneficiary Records
1
Codes Billed
2024-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHEBULTZ, JERICHO (CEO)
NPI Enumeration Date12/19/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 895 $332K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
S9480 Intensive outpatient psychiatric services, per diem 895 81 $332K