Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

NPI: 1558907196 · TUCSON, AZ 85713 · Addiction (Substance Use Disorder) Counselor · NPI assigned 11/19/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more

$10.72M
Total Medicaid Paid
690,845
Total Claims
148,800
Beneficiaries
22
Codes Billed
2020-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Parent OrganizationCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
NPI Enumeration Date11/19/2019

Related Entities

Other providers sharing the same authorized official: GAITHER, CINDY

ProviderCityStateTotal Paid
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC SCOTTSDALE AZ $43.25M
PREMIER CARE OF INDIANA, INC. MARION IN $33.81M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC WASILLA AK $18.90M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $18.54M
PREMIER CARE OF OHIO LLC CINCINNATI OH $13.13M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC GLENDALE AZ $12.90M
PREMIER CARE OF WISCONSIN, LLC. WEST ALLIS WI $11.15M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC YUMA AZ $10.33M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $8.96M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC FARGO ND $8.90M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $7.83M
PREMIER CARE OF OHIO, LLC. LIMA OH $5.35M
PREMIER CARE OF WISCONSIN, LLC. FOND DU LAC WI $4.91M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC ANCHORAGE AK $4.83M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC LAKE HAVASU CITY AZ $4.60M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC MINOT ND $4.16M
PREMIER CARE OF OHIO LLC KETTERING OH $2.67M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $2.49M
PREMIER CARE OF WISCONSIN, LLC. SOUTH MILWAUKEE WI $1.97M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC BUCKEYE AZ $1.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 34,560 $502K
2021 119,972 $1.88M
2022 162,475 $2.24M
2023 188,864 $2.95M
2024 184,974 $3.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 324,101 26,406 $3.61M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,760 15,310 $1.39M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 19,803 14,555 $1.27M
T1016 Case management, each 15 minutes 51,720 20,568 $853K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 24,550 1,222 $844K
H0031 Mental health assessment, by non-physician 4,678 4,574 $664K
H0004 Behavioral health counseling and therapy, per 15 minutes 18,450 14,563 $577K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 161,001 22,617 $500K
T1003 Lpn/lvn services, up to 15 minutes 21,351 14,648 $307K
H0033 Oral medication administration, direct observation 12,775 1,394 $202K
T1002 Rn services, up to 15 minutes 8,849 6,847 $156K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,301 1,284 $126K
H0038 Self-help/peer services, per 15 minutes 5,775 2,799 $101K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 13,814 817 $74K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 2,357 433 $29K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 181 181 $7K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 732 219 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53 53 $3K
J0573 Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine 275 14 $2K
86803 113 107 $2K
93042 151 144 $1K
80305 55 45 $502.64