Agency
Gila River Health Care
Gila River Health Care was paid $564K by Medicaid between Jan 2018 and Aug 2024, across 5 billing codes. Its largest line is S0215, Non-emergency transportation; mileage, per mile — 48% of everything it billed.
33Billing provider infoGILA RIVER HEALTH CARE
LAVEEN, AZ 85339
LAVEEN, AZ 85339
33aNPI1598021495assigned 04/04/2012
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$564K
24GClaims13,219
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Arizona
Rank by total paid#282 of 474
Median peer was paid$1.18M
This provider vs. median0.5×
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.
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 | |
|---|---|---|---|
| 2018 | 6,594 | $260K | |
| 2019 | 4,304 | $180K | |
| 2020 | 879 | $61K | |
| 2021 | 323 | $20K | |
| 2022 | 362 | $14K | |
| 2023 | 553 | $23K | |
| 2024incomplete | 204 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0215 | Non-emergency transportation; mileage, per mile | 48% | 4,271 | 1,027 | $270K |
| T1016 | Case management, each 15 minutes | 39% | 4,485 | 1,730 | $222K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 12% | 4,271 | 1,026 | $67K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 115 | 76 | $4K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 77 | 39 | $1K |
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 officialGEMBERLING, SCOTT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gila River Regional Behavioral Health Authority | Sacaton, AZ | $23.47M |
| Gila River Health Care | Sacaton, AZ | $1.13M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.