Spectrum Healthcare Group, INC.
Spectrum Healthcare Group, INC. was paid $7.61M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 44% of everything it billed.
COTTONWOOD, AZ 86326
Next to other Nurse Practitioner 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 | |
|---|---|---|---|
| 2018 | 56,380 | $667K | |
| 2019 | 51,049 | $1.84M | |
| 2020 | 46,748 | $1.53M | |
| 2021 | 45,266 | $1.93M | |
| 2022 | 13,756 | $711K | |
| 2023 | 2,825 | $292K | |
| 2024incomplete | 5,924 | $639K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 44% | 52,787 | 26,323 | $3.32M |
| T1016 | Case management, each 15 minutes | 19% | 100,093 | 42,137 | $1.47M |
| H0031 | Mental health assessment, by non-physician | 16% | 7,639 | 7,526 | $1.20M |
| H2014 | Skills training and development, per 15 minutes | 6.2% | 19,156 | 5,503 | $470K |
| H2027 | Psychoeducational service, per 15 minutes | 3.4% | 5,770 | 875 | $255K |
| 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 | 2.5% | 2,948 | 2,745 | $194K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.8% | 919 | 521 | $135K |
| H2011 | Crisis intervention service, per 15 minutes | 1.3% | 5,672 | 4,910 | $97K |
| S5110 | Home care training, family; per 15 minutes | 1.2% | 1,231 | 625 | $95K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 3,608 | 1,387 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,243 | 1,181 | $65K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 306 | 297 | $64K |
17 more codes
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 7,954 | $45K |
| S5150 | Respite care, billed per 15 minutes | <1% | 1,251 | $43K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 440 | $18K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | <1% | 305 | $18K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 244 | $11K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | <1% | 974 | $9K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 7,939 | $7K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 541 | $6K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 174 | $5K |
| H0001 | Alcohol and/or drug assessment | <1% | 115 | $4K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 126 | $3K |
| H0030 | Behavioral health hotline service | <1% | 223 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 21 | $794.36 |
| T1002 | Rn services, up to 15 minutes | <1% | 114 | $537.16 |
| 3008F | 0% | 82 | $0.00 | |
| 3074F | 0% | 45 | $0.00 | |
| 3078F | 0% | 28 | $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 | $27.51M |
| 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.