Behavioral
Community Medical Services Arizona-Private, LLC
Community Medical Services Arizona-Private, LLC was paid $10.72M by Medicaid between Feb 2020 and Dec 2024, across 22 billing codes. Its largest line is H2010, Comprehensive medication services, per 15 minutes — 34% of everything it billed.
33Billing provider infoCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
TUCSON, AZ 85713
TUCSON, AZ 85713
33aNPI1558907196assigned 11/19/2019
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$10.72M
24GClaims690,845
24DCodes billed22
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Arizona
Rank by total paid#12 of 107
Median peer was paid$636K
This provider vs. median17×
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.
Entity ProliferationAuthorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 34,560 | $502K | |
| 2021 | 119,972 | $1.88M | |
| 2022 | 162,475 | $2.24M | |
| 2023 | 188,864 | $2.95M | |
| 2024incomplete | 184,974 | $3.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2010 | Comprehensive medication services, per 15 minutes | 34% | 324,101 | 26,406 | $3.61M |
| 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 | 13% | 18,760 | 15,310 | $1.39M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 12% | 19,803 | 14,555 | $1.27M |
| T1016 | Case management, each 15 minutes | 8.0% | 51,720 | 20,568 | $853K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 7.9% | 24,550 | 1,222 | $844K |
| H0031 | Mental health assessment, by non-physician | 6.2% | 4,678 | 4,574 | $664K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 5.4% | 18,450 | 14,563 | $577K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 4.7% | 161,001 | 22,617 | $500K |
| T1003 | Lpn/lvn services, up to 15 minutes | 2.9% | 21,351 | 14,648 | $307K |
| H0033 | Oral medication administration, direct observation | 1.9% | 12,775 | 1,394 | $202K |
| T1002 | Rn services, up to 15 minutes | 1.5% | 8,849 | 6,847 | $156K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 1,301 | 1,284 | $126K |
10 more codes
| H0038 | Self-help/peer services, per 15 minutes | <1% | 5,775 | $101K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | <1% | 13,814 | $74K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 2,357 | $29K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 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) | <1% | 732 | $3K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 53 | $3K |
| J0573 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | <1% | 275 | $2K |
| 86803 | <1% | 113 | $2K | |
| 93042 | <1% | 151 | $1K | |
| 80305 | <1% | 55 | $502.64 |
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 officialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Parent organizationCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.