Vanguard Behavioral Health
Vanguard Behavioral Health was paid $2.95M by Medicaid between Oct 2022 and Dec 2023, across 10 billing codes. Its largest line is 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 — 63% of everything it billed.
TUCSON, AZ 85745
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Arizona
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 3,541 | $1.18M | |
| 2023 | 5,538 | $1.77M |
What it billed for
| Code | Service | Share | Claims | Bene. records | 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 | 63% | 4,018 | 330 | $1.87M |
| S9480 | Intensive outpatient psychiatric services, per diem | 32% | 2,571 | 190 | $946K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.9% | 834 | 107 | $84K |
| H0031 | Mental health assessment, by non-physician | <1% | 104 | 104 | $17K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 446 | 187 | $15K |
| T1016 | Case management, each 15 minutes | <1% | 637 | 264 | $8K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 247 | 77 | $5K |
| H0001 | Alcohol and/or drug assessment | <1% | 79 | 79 | $3K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 103 | 103 | $2K |
| H0034 | Medication training and support, per 15 minutes | <1% | 40 | 40 | $305.74 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pathfinders Recovery Center Colorado, LLC | Aurora, CO | $6.74M |
| Vanguard Behavioral Health | Albuquerque, NM | $2.13M |
| Pathfinders Recovery Center Colorado, LLC | Aurora, CO | $543K |
| Pathfinders Recovery Center Colorado, LLC | Aurora, CO | $518K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.