Clinic
Horizon Health and Wellness, INC.
Horizon Health and Wellness, INC. was paid $3.18M by Medicaid between Jan 2018 and Oct 2021, across 16 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 33% of everything it billed.
33Billing provider infoHORIZON HEALTH AND WELLNESS, INC.
YUMA, AZ 85365
YUMA, AZ 85365
33aNPI1609255488assigned 05/26/2015
33bProvider typePrimary Care Clinic/Center
28Total paid$3.18M
24GClaims67,782
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Primary Care Clinic/Center providers in Arizona
Rank by total paid#20 of 104
Median peer was paid$181K
This provider vs. median18×
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 | 23,189 | $288K | |
| 2019 | 13,651 | $792K | |
| 2020 | 20,159 | $1.33M | |
| 2021 | 10,783 | $767K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 33% | 10,319 | 4,731 | $1.06M |
| T1016 | Case management, each 15 minutes | 30% | 22,272 | 10,743 | $941K |
| H0031 | Mental health assessment, by non-physician | 10% | 1,992 | 1,894 | $318K |
| H0038 | Self-help/peer services, per 15 minutes | 7.2% | 3,652 | 1,560 | $228K |
| S0215 | Non-emergency transportation; mileage, per mile | 5.1% | 8,376 | 3,225 | $161K |
| S5110 | Home care training, family; per 15 minutes | 5.0% | 4,588 | 2,228 | $160K |
| S9485 | Crisis intervention mental health services, per diem | 3.1% | 134 | 97 | $99K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 2.4% | 8,685 | 3,261 | $78K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 2.1% | 3,065 | 1,798 | $67K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 157 | 60 | $19K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | <1% | 46 | 17 | $16K |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,976 | 792 | $13K |
4 more codes
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | <1% | 500 | $7K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 189 | $5K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | <1% | 24 | $840.26 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 1,807 | $627.11 |
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 officialROYBAL-BROWN, BARBARA (DIRECTOR OF DEVELOPMENT)