Medicaid Provider Spending

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

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

NPI: 1619451804 · PHOENIX, AZ 85017 · Addiction (Substance Use Disorder) Counselor · NPI assigned 09/24/2018

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

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

$8.96M
Total Medicaid Paid
850,849
Total Claims
143,612
Beneficiaries
18
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
NPI Enumeration Date09/24/2018

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 TUCSON AZ $10.72M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC YUMA AZ $10.33M
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
2018 11,023 $82K
2019 149,266 $1.33M
2020 209,366 $1.95M
2021 149,348 $1.64M
2022 159,555 $1.84M
2023 88,882 $1.12M
2024 83,409 $997K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 392,094 33,354 $3.99M
T1016 Case management, each 15 minutes 124,582 21,261 $1.70M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 18,754 15,252 $894K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 253,948 29,627 $715K
H0004 Behavioral health counseling and therapy, per 15 minutes 13,931 11,247 $420K
H0031 Mental health assessment, by non-physician 3,011 2,960 $398K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,493 5,787 $315K
T1003 Lpn/lvn services, up to 15 minutes 26,333 19,044 $315K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,242 2,048 $105K
H0033 Oral medication administration, direct observation 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) 2,193 603 $20K
H0038 Self-help/peer services, per 15 minutes 1,418 980 $19K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 819 189 $11K
T1002 Rn services, up to 15 minutes 514 476 $8K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 618 169 $7K
80305 312 208 $2K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 65 28 $866.22
93042 45 45 $278.36