Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Community Medical Services Arizona-Private, LLC

Community Medical Services Arizona-Private, LLC was paid $8.96M by Medicaid between Nov 2018 and Dec 2024, across 18 billing codes. Its largest line is H2010, Comprehensive medication services, per 15 minutes — 44% of everything it billed.

33Billing provider infoCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
PHOENIX, AZ 85017
33aNPI1619451804assigned 09/24/2018
28Total paid$8.96M
24GClaims850,849
24DCodes billed18
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Arizona

Rank by total paid#15 of 107
Median peer was paid$636K
This provider vs. median14×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201811,023$82K
2019149,266$1.33M
2020209,366$1.95M
2021149,348$1.64M
2022159,555$1.84M
202388,882$1.12M
2024incomplete83,409$997K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2010 Comprehensive medication services, per 15 minutes 44% 392,094 33,354 $3.99M
T1016 Case management, each 15 minutes 19% 124,582 21,261 $1.70M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10.0% 18,754 15,252 $894K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 8.0% 253,948 29,627 $715K
H0004 Behavioral health counseling and therapy, per 15 minutes 4.7% 13,931 11,247 $420K
H0031 Mental health assessment, by non-physician 4.4% 3,011 2,960 $398K
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 3.5% 6,493 5,787 $315K
T1003 Lpn/lvn services, up to 15 minutes 3.5% 26,333 19,044 $315K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.2% 2,242 2,048 $105K
H0033 Oral medication administration, direct observation <1% 3,477 334 $44K
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% 2,193 603 $20K
H0038 Self-help/peer services, per 15 minutes <1% 1,418 980 $19K
6 more codes
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine <1% 819 $11K
T1002 Rn services, up to 15 minutes <1% 514 $8K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) <1% 618 $7K
80305 <1% 312 $2K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine <1% 65 $866.22
93042 <1% 45 $278.36

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)
Same official

Other billing entities under GAITHER, CINDY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.