Medicaid Provider Spending

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

SOBER MOUNTAIN LLC

NPI: 1356051122 · SHOW LOW, AZ 85901 · Substance Abuse Rehabilitation Facility · NPI assigned 12/01/2022

$1.43M
Total Medicaid Paid
13,843
Total Claims
2,091
Beneficiaries
7
Codes Billed
2024-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMANGUM, AMMON (OWNER/ PARTNER)
NPI Enumeration Date12/01/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 13,843 $1.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 4,323 409 $675K
H2014 Skills training and development, per 15 minutes 3,807 336 $322K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,630 433 $184K
H0038 Self-help/peer services, per 15 minutes 2,930 387 $116K
90837 Psychotherapy, 53 minutes with patient 638 284 $95K
T1016 Case management, each 15 minutes 469 198 $28K
H0031 Mental health assessment, by non-physician 46 44 $8K