ARIZONA'S FIRST CHOICE MEDICAL SERVICES, LLC.

NPI: 1366909798 · PHOENIX, AZ 85015 · Primary Care Clinic/Center · NPI assigned 02/21/2019

$435K

Total Medicaid Paid

2,177

Total Claims

1,350

Beneficiaries

Codes Billed

2019-12

First Month

2020-07

Last Month

Provider Details

Authorized Official	GARCIA, GABRIELA (OWNER)
NPI Enumeration Date	02/21/2019

Other providers sharing the same authorized official: GARCIA, GABRIELA

Provider	City	State	Total Paid
MOM'S RETREAT BOARD & CARE HOME , LLC	FULLERTON	CA	$3.68M
PSP PROFESSIONAL SERVICES, INC.	FORT WORTH	TX	$371K

Year	Claims	Total Paid
2019	66	$10K
2020	2,111	$425K

Code	Description	Claims	Beneficiaries	Total Paid
H2011	Crisis intervention service, per 15 minutes	727	210	$134K
H2014	Skills training and development, per 15 minutes	193	144	$133K
H2017	Psychosocial rehabilitation services, per 15 minutes	170	126	$64K
H0031	Mental health assessment, by non-physician	246	199	$52K
99205	Prolong outpt/office vis	130	109	$18K
H2020	Therapeutic behavioral services, per diem	87	83	$11K
H0001	Alcohol and/or drug assessment	248	198	$9K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	239	193	$7K
H0038	Self-help/peer services, per 15 minutes	72	38	$3K
90837	Psychotherapy, 53 minutes with patient	26	16	$3K
T1016	Case management, each 15 minutes	39	34	$2K