Spectrum Healthcare Group, INC.
Spectrum Healthcare Group, INC. was paid $27.51M by Medicaid between Jun 2019 and Dec 2024, across 56 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 28% of everything it billed.
COTTONWOOD, AZ 86326
Next to other Mental Health Counselor 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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 48 | $4K | |
| 2020 | 115 | $5K | |
| 2021 | 5,348 | $443K | |
| 2022 | 82,498 | $6.43M | |
| 2023 | 130,780 | $12.83M | |
| 2024incomplete | 76,714 | $7.80M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 28% | 51,960 | 26,357 | $7.64M |
| T1016 | Case management, each 15 minutes | 24% | 129,118 | 64,446 | $6.59M |
| H0031 | Mental health assessment, by non-physician | 12% | 11,714 | 11,278 | $3.43M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 11% | 15,949 | 791 | $2.90M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.5% | 10,667 | 10,001 | $1.24M |
| H2014 | Skills training and development, per 15 minutes | 4.5% | 12,236 | 3,953 | $1.23M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 13,260 | 12,245 | $1.08M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.7% | 4,158 | 2,380 | $740K |
| H2027 | Psychoeducational service, per 15 minutes | 1.9% | 1,809 | 301 | $534K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.8% | 1,673 | 1,652 | $495K |
| H2011 | Crisis intervention service, per 15 minutes | 1.7% | 8,688 | 7,747 | $468K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 2,010 | 446 | $252K |
44 more codes
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 3,290 | $183K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,537 | $133K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,078 | $131K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 822 | $72K |
| T1002 | Rn services, up to 15 minutes | <1% | 1,172 | $56K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 550 | $47K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 863 | $43K |
| S5110 | Home care training, family; per 15 minutes | <1% | 496 | $37K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | <1% | 1,020 | $36K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 3,301 | $34K |
| 99442 | <1% | 348 | $31K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 433 | $28K |
| 80305 | <1% | 1,771 | $25K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 535 | $12K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 348 | $11K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 75 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 39 | $4K |
| H0001 | Alcohol and/or drug assessment | <1% | 102 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 38 | $4K |
| 99443 | <1% | 15 | $2K | |
| 0013A | <1% | 31 | $2K | |
| 0012A | <1% | 140 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 37 | $1K |
| 0134A | <1% | 26 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 0011A | <1% | 108 | $861.00 | |
| 0031A | <1% | 38 | $740.20 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 17 | $689.57 |
| 0064A | <1% | 13 | $630.80 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | $507.16 |
| H0046 | Mental health services, not otherwise specified | <1% | 5,432 | $250.69 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $217.59 |
| 96127 | <1% | 46 | $207.23 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 50 | $138.41 |
| 91301 | <1% | 116 | $0.02 | |
| 3078F | 0% | 1,282 | $0.00 | |
| 3077F | 0% | 104 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 16 | $0.00 |
| 3075F | 0% | 59 | $0.00 | |
| 3008F | 0% | 3,822 | $0.00 | |
| 3080F | 0% | 83 | $0.00 | |
| 3074F | 0% | 1,523 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 115 | $0.00 |
| 3079F | 0% | 315 | $0.00 |
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 |
|---|---|---|
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $7.61M |
| Spectrum Healthcare Group, INC | Cottonwood, AZ | $1.68M |
| Spectrum Healthcare Group, INC | Prescott, AZ | $1.53M |
| Spectrum Healthcare Group, INC | Prescott, AZ | $1.30M |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $1.26M |
| Spectrum Healthcare Group, INC. | Camp Verde, AZ | $786K |
| Spectrum Healthcare Group, INC | Cottonwood, AZ | $778K |
| Spectrum Healthcare Group, INC | Prescott, AZ | $683K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $330K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $263K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $58K |
| Spectrum Healthcare Group, INC | Camp Verde, AZ | $42K |
| Spectrum Healthcare Group, INC. | Glendale, AZ | $28K |
| Spectrum Healthcare Group, INC | Sedona, AZ | $6K |
| Spectrum Healthcare Group, INC. | Tucson, AZ | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.