Behavioral
Horizon Health and Wellness, INC.
Horizon Health and Wellness, INC. was paid $7.25M by Medicaid between Jan 2018 and Sep 2024, across 16 billing codes. Its largest line is T1016, Case management, each 15 minutes — 34% of everything it billed.
33Billing provider infoHORIZON HEALTH AND WELLNESS, INC.
YUMA, AZ 85365
YUMA, AZ 85365
33aNPI1295975134assigned 03/05/2009
33bProvider typeClinical Social Worker
28Total paid$7.25M
24GClaims127,691
24DCodes billed16
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Clinical Social Worker providers in Arizona
Rank by total paid#2 of 61
Median peer was paid$18K
This provider vs. median405×
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.
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 | |
|---|---|---|---|
| 2018 | 23,478 | $297K | |
| 2019 | 19,305 | $1.21M | |
| 2020 | 21,386 | $1.48M | |
| 2021 | 22,926 | $1.47M | |
| 2022 | 32,626 | $2.17M | |
| 2023 | 7,717 | $608K | |
| 2024incomplete | 253 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 34% | 45,136 | 28,020 | $2.43M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 32% | 22,527 | 10,946 | $2.36M |
| H0031 | Mental health assessment, by non-physician | 14% | 5,609 | 5,221 | $1.04M |
| H0038 | Self-help/peer services, per 15 minutes | 13% | 20,218 | 5,341 | $923K |
| S0215 | Non-emergency transportation; mileage, per mile | 1.8% | 10,425 | 4,155 | $134K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 1.4% | 10,362 | 4,129 | $99K |
| H2027 | Psychoeducational service, per 15 minutes | 1.1% | 1,023 | 434 | $78K |
| 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 | <1% | 371 | 96 | $54K |
| S5110 | Home care training, family; per 15 minutes | <1% | 911 | 514 | $35K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 1,352 | 1,320 | $34K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 2,240 | 1,753 | $30K |
| H2014 | Skills training and development, per 15 minutes | <1% | 3,186 | 1,130 | $25K |
4 more codes
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | <1% | 232 | $4K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 77 | $4K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 4,009 | $1K |
| H0034 | Medication training and support, per 15 minutes | <1% | 13 | $298.05 |
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 officialRODRIGUEZ, ELIZABETH (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Horizon Health and Wellness, INC. | Casa Grande, AZ | $7.22M |
| Horizon Health and Wellness, INC. | Globe, AZ | $2.72M |
| Horizon Health and Wellness, INC. | Casa Grande, AZ | $109K |
| Horizon Specialty | Apache Junction, AZ | $7K |
| Horizon Health and Wellness, INC. | Florence, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.