Medicaid Provider Spending

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

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

NPI: 1396204921 · LAKE HAVASU CITY, AZ 86403 · Addiction (Substance Use Disorder) Counselor · NPI assigned 03/13/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more

$4.60M
Total Medicaid Paid
259,382
Total Claims
53,884
Beneficiaries
18
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
NPI Enumeration Date03/13/2019

Related Entities

Other providers sharing the same authorized official: GAITHER, CINDY

ProviderCityStateTotal Paid
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC SCOTTSDALE AZ $43.25M
PREMIER CARE OF INDIANA, INC. MARION IN $33.81M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC WASILLA AK $18.90M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $18.54M
PREMIER CARE OF OHIO LLC CINCINNATI OH $13.13M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC GLENDALE AZ $12.90M
PREMIER CARE OF WISCONSIN, LLC. WEST ALLIS WI $11.15M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC TUCSON AZ $10.72M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC YUMA AZ $10.33M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $8.96M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC FARGO ND $8.90M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $7.83M
PREMIER CARE OF OHIO, LLC. LIMA OH $5.35M
PREMIER CARE OF WISCONSIN, LLC. FOND DU LAC WI $4.91M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC ANCHORAGE AK $4.83M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC MINOT ND $4.16M
PREMIER CARE OF OHIO LLC KETTERING OH $2.67M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $2.49M
PREMIER CARE OF WISCONSIN, LLC. SOUTH MILWAUKEE WI $1.97M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC BUCKEYE AZ $1.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 8,541 $132K
2020 41,305 $663K
2021 48,659 $772K
2022 55,056 $1.00M
2023 56,409 $1.07M
2024 49,412 $965K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 106,463 11,809 $1.65M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10,483 7,759 $657K
T1016 Case management, each 15 minutes 24,603 7,099 $510K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 9,394 465 $396K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 79,583 9,155 $340K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,157 3,435 $340K
H0004 Behavioral health counseling and therapy, per 15 minutes 6,705 5,215 $225K
H0031 Mental health assessment, by non-physician 1,094 1,058 $196K
T1002 Rn services, up to 15 minutes 4,513 3,180 $109K
T1003 Lpn/lvn services, up to 15 minutes 3,584 2,341 $63K
H0038 Self-help/peer services, per 15 minutes 2,283 1,394 $44K
H0033 Oral medication administration, direct observation 2,308 329 $38K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 3,018 169 $27K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 527 191 $6K
J0573 Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine 332 24 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 41 41 $1K
80305 237 174 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 46 $1K