Clinic
Southwest Behavioral Health Services, INC
Southwest Behavioral Health Services, INC was paid $5.17M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 33% of everything it billed.
33Billing provider infoSOUTHWEST BEHAVIORAL HEALTH SERVICES, INC
FLAGSTAFF, AZ 86004
FLAGSTAFF, AZ 86004
33aNPI1316170368assigned 08/25/2009
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$5.17M
24GClaims280,459
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Arizona
Rank by total paid#15 of 40
Median peer was paid$2.67M
This provider vs. median1.9×
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.
Entity ProliferationAuthorized official SHEETS, STEVEN controls 16+ related entities in our dataset. Read more
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 | 43,636 | $59K | |
| 2019 | 40,485 | $305K | |
| 2020 | 47,204 | $561K | |
| 2021 | 46,119 | $623K | |
| 2022 | 41,108 | $803K | |
| 2023 | 32,360 | $1.45M | |
| 2024incomplete | 29,547 | $1.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 33% | 29,317 | 14,853 | $1.73M |
| T1016 | Case management, each 15 minutes | 20% | 57,983 | 22,239 | $1.03M |
| H0031 | Mental health assessment, by non-physician | 11% | 5,005 | 4,077 | $574K |
| H2010 | Comprehensive medication services, per 15 minutes | 10% | 44,215 | 4,712 | $529K |
| T1002 | Rn services, up to 15 minutes | 9.3% | 30,808 | 5,581 | $478K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 5.6% | 85,198 | 4,718 | $288K |
| 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 | 5.5% | 6,175 | 5,719 | $282K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 1,032 | 1,013 | $65K |
| H2014 | Skills training and development, per 15 minutes | 1.1% | 6,357 | 1,494 | $56K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 396 | 384 | $45K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 207 | 207 | $37K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,320 | 558 | $33K |
11 more codes
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 2,843 | $12K |
| H0033 | Oral medication administration, direct observation | <1% | 293 | $6K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 212 | $4K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 161 | $3K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 1,672 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 336 | $941.06 |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | <1% | 5,762 | $791.69 |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 14 | $139.92 |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 242 | $19.10 |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | <1% | 17 | $13.05 |
| A0100 | Non-emergency taxi ride to a medical appointment | 0% | 894 | $0.00 |
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 officialSHEETS, STEVEN (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Southwest Behavioral Health Services INC | Phoenix, AZ | $83.33M |
| Southwest Behavioral Health Services, INC. | Kingman, AZ | $8.45M |
| Southwest Behavioral Health Services,inc. | Bullhead City, AZ | $5.99M |
| Southwest Behavioral Health Services | Phoenix, AZ | $5.59M |
| Southwest Behavioral Health Services | Prescott Valley, AZ | $5.44M |
| Southwest Behavioral Health Services, INC. | Bullhead City, AZ | $5.40M |
| Southwest Behavioral Health Services, INC. | Lake Havasu City, AZ | $2.78M |
| Southwest Behavioral Health Service | Buckeye, AZ | $2.58M |
| Southwest Behavioral Health Services | Mesa, AZ | $1.93M |
| Southwest Behavioral Health Services | Phoenix, AZ | $1.75M |
| Southwest Behavioral Health Services, INC. | Phoenix, AZ | $1.61M |
| Southwest Behavioral Health Services, INC. | Kingman, AZ | $1.27M |
| Southwest Behavioral Health | Payson, AZ | $1.21M |
| Southwest Behavioral Health Services INC. | Bullhead City, AZ | $678K |
| Southwest Behavioral Health Services | Phoenix, AZ | $584K |
| Southwest Behavioral Health | Payson, AZ | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.