Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SUMMIT BEHAVIORAL HEALTH OF AZ, LLC

NPI: 1356963839 · PRESCOTT, AZ 86301 · Substance Abuse Rehabilitation Facility · NPI assigned 05/07/2020

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.

$13.26M
Total Medicaid Paid
66,065
Total Claims
4,691
Beneficiaries
2
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialISENBERG, BENJAMIN (CEO)
Parent OrganizationSUMMIT BEHAVIORAL HEALTH OF AZ, LLC
NPI Enumeration Date05/07/2020

Related Entities

Other providers sharing the same authorized official: ISENBERG, BENJAMIN

ProviderCityStateTotal Paid
SUMMIT BEHAVIORAL HEALTH OF ARIZONA PRESCOTT VALLEY AZ $19.67M
SUMMIT BEHAVIORAL HEALTH OF ARIZONA PRESCOTT VALLEY AZ $7.89M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,843 $958K
2021 15,065 $2.94M
2022 16,064 $3.12M
2023 16,104 $3.27M
2024 13,989 $2.97M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 66,045 4,673 $13.26M
H0031 Mental health assessment, by non-physician 20 18 $0.00