Clinic
Horizon Health and Wellness, INC.
Horizon Health and Wellness, INC. was paid $36.38M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 54% of everything it billed.
33Billing provider infoHORIZON HEALTH AND WELLNESS, INC.
APACHE JUNCTION, AZ 85120
APACHE JUNCTION, AZ 85120
33aNPI1659308989assigned 06/26/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$36.38M
24GClaims504,499
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arizona
Rank by total paid#4 of 126
Median peer was paid$1.45M
This provider vs. median25×
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 | 30,664 | $1.79M | |
| 2019 | 75,244 | $4.43M | |
| 2020 | 31,288 | $2.97M | |
| 2021 | 38,659 | $3.40M | |
| 2022 | 59,669 | $4.74M | |
| 2023 | 132,967 | $9.34M | |
| 2024incomplete | 136,008 | $9.71M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 54% | 93,332 | 74,680 | $19.56M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 14% | 58,910 | 27,618 | $4.99M |
| T1016 | Case management, each 15 minutes | 12% | 139,163 | 65,030 | $4.32M |
| H0031 | Mental health assessment, by non-physician | 5.1% | 11,182 | 10,170 | $1.84M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 55,490 | 47,058 | $1.09M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 2.6% | 4,513 | 434 | $959K |
| H0038 | Self-help/peer services, per 15 minutes | 2.3% | 12,844 | 4,171 | $822K |
| 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 | 2.1% | 42,464 | 37,594 | $777K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 1,939 | 367 | $296K |
| S5110 | Home care training, family; per 15 minutes | <1% | 8,715 | 3,951 | $272K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 6,819 | 6,291 | $202K |
| H2014 | Skills training and development, per 15 minutes | <1% | 4,280 | 1,662 | $173K |
72 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12,342 | $170K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,127 | $96K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 3,783 | $90K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,975 | $83K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 3,782 | $82K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 3,228 | $62K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,037 | $59K |
| 90461 | <1% | 1,220 | $56K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 665 | $55K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 688 | $55K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 566 | $43K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 3,783 | $37K |
| H0034 | Medication training and support, per 15 minutes | <1% | 1,049 | $23K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 774 | $18K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,743 | $17K |
| S9485 | Crisis intervention mental health services, per diem | <1% | 16 | $14K |
| 99442 | <1% | 442 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 387 | $10K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 750 | $9K |
| 96127 | <1% | 1,683 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 669 | $6K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 28 | $6K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 69 | $6K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 183 | $6K |
| 92552 | <1% | 883 | $5K | |
| 85018 | <1% | 2,578 | $5K | |
| 85013 | <1% | 763 | $5K | |
| 96160 | <1% | 1,260 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 275 | $4K |
| 99441 | <1% | 365 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 59 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 399 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 191 | $3K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | <1% | 209 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 425 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 193 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,887 | $1K |
| 90686 | <1% | 409 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 73 | $1K |
| 85014 | <1% | 484 | $958.12 | |
| 0071A | <1% | 21 | $800.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $765.29 |
| 0072A | <1% | 21 | $760.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $734.04 |
| 99177 | <1% | 130 | $524.52 | |
| 99385 | <1% | 15 | $409.89 | |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 24 | $406.34 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 441 | $338.16 |
| 80306 | <1% | 987 | $216.00 | |
| 94760 | <1% | 674 | $208.68 | |
| G0467 | Community health center visit, returning patient | <1% | 67 | $115.34 |
| 99173 | <1% | 678 | $70.05 | |
| 99000 | <1% | 51 | $60.00 | |
| 0011A | <1% | 84 | $40.00 | |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | <1% | 2,870 | $19.49 |
| 36416 | <1% | 1,563 | $16.61 | |
| J2794 | Injection, risperidone (risperdal consta), 0.5 mg | <1% | 354 | $2.58 |
| J1631 | Injection, haloperidol decanoate, per 50 mg | <1% | 226 | $1.59 |
| 3080F | <1% | 16 | $0.01 | |
| 3074F | 0% | 13 | $0.00 | |
| 99406 | 0% | 740 | $0.00 | |
| 90647 | 0% | 40 | $0.00 | |
| 90723 | 0% | 25 | $0.00 | |
| 0012A | 0% | 78 | $0.00 | |
| 82270 | 0% | 40 | $0.00 | |
| 90688 | 0% | 17 | $0.00 | |
| 96150 | 0% | 54 | $0.00 | |
| 90670 | 0% | 60 | $0.00 | |
| 3077F | 0% | 15 | $0.00 | |
| 3078F | 0% | 29 | $0.00 | |
| 0013A | 0% | 21 | $0.00 |
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 officialHOLLIDAY, BILLIE (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Horizon Health and Wellness, INC. | Florence, AZ | $5.88M |
| Horizon Health and Wellness, INC. | Casa Grande, AZ | $2.28M |
| Horizon Health and Wellness, INC. | Casa Grande, AZ | $1.85M |
| Horizon Health and Wellness, INC. | Casa Grande, AZ | $1.30M |
| Horizon Health and Wellness, INC. | Casa Grande, AZ | $900K |
| Horizon Health & Wellness, INC. | Casa Grande, AZ | $291K |
| Horizon Health and Wellness, INC. | Apache Junction, AZ | $98K |
| Horizon Health & Wellness, INC. | Phoenix, AZ | $66K |
| Horizon Health and Wellness, INC. | Yuma, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.