Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential OIG excluded

Cactus Wren Community Services LLC

Cactus Wren Community Services LLC was paid $10.35M by Medicaid between Nov 2020 and Dec 2022, across 10 billing codes. Its largest line is H2027, Psychoeducational service, per 15 minutes — 55% of everything it billed.

33Billing provider infoCACTUS WREN COMMUNITY SERVICES LLC
PHOENIX, AZ 85041
33aNPI1457976813assigned 06/11/2020
28Total paid$10.35M
24GClaims8,613
24DCodes billed10
24AFirst – last monthNov 2020 – Dec 2022
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Arizona

Rank by total paid#7 of 34
Median peer was paid$2.26M
This provider vs. median4.6×

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.

OIG exclusionListed on the federal exclusion list (03/20/2025).
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
20201,459$1.13M
20214,439$5.71M
20222,715$3.51M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2027 Psychoeducational service, per 15 minutes 55% 2,596 716 $5.68M
H2014 Skills training and development, per 15 minutes 22% 2,509 689 $2.23M
T1016 Case management, each 15 minutes 20% 2,712 717 $2.07M
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 2.2% 77 12 $226K
H2011 Crisis intervention service, per 15 minutes 1.1% 561 176 $109K
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes <1% 56 18 $20K
H0031 Mental health assessment, by non-physician <1% 26 26 $6K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 25 25 $4K
H0001 Alcohol and/or drug assessment <1% 25 25 $918.25
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 26 26 $743.85

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 officialMCALISTER, MARCUS (OWNER)