Agency
Gila River Health Care
Gila River Health Care was paid $1.13M by Medicaid between Jan 2018 and Dec 2021, across 4 billing codes. Its largest line is T1016, Case management, each 15 minutes — 82% of everything it billed.
33Billing provider infoGILA RIVER HEALTH CARE
SACATON, AZ 85147
SACATON, AZ 85147
33aNPI1417237074assigned 08/26/2011
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.13M
24GClaims30,194
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Community/Behavioral Health Agency providers in Arizona
Rank by total paid#241 of 474
Median peer was paid$1.18M
This provider vs. median1.0×
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.
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 | 8,690 | $244K | |
| 2019 | 8,681 | $254K | |
| 2020 | 7,641 | $351K | |
| 2021 | 5,182 | $278K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 82% | 19,874 | 10,003 | $926K |
| S0215 | Non-emergency transportation; mileage, per mile | 9.6% | 5,039 | 1,267 | $108K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 5.9% | 5,039 | 1,267 | $66K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.3% | 242 | 154 | $26K |
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 officialGEMBERLING, SCOTT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gila River Regional Behavioral Health Authority | Sacaton, AZ | $23.47M |
| Gila River Health Care | Laveen, AZ | $564K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.