Medicaid Provider Spending

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

COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC

NPI: 1679926745 · SCOTTSDALE, AZ 85258 · Methadone Clinic · NPI assigned 07/13/2016

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

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

$43.25M
Total Medicaid Paid
2,102,830
Total Claims
170,648
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
NPI Enumeration Date07/13/2016

Related Entities

Other providers sharing the same authorized official: GAITHER, CINDY

ProviderCityStateTotal Paid
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 ARIZONA-PRIVATE, LLC PHOENIX AZ $8.96M
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 235,817 $2.47M
2019 271,700 $3.16M
2020 297,965 $7.32M
2021 375,300 $9.98M
2022 349,902 $7.19M
2023 320,094 $7.14M
2024 252,052 $6.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 164,723 49,663 $21.19M
S0109 Methadone, oral, 5 mg 1,473,912 53,857 $10.28M
H0033 Oral medication administration, direct observation 68,921 5,381 $4.14M
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 195,980 7,588 $2.43M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 28,187 6,190 $1.13M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,885 8,008 $958K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,747 12,211 $821K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 75,379 3,159 $705K
90832 Psychotherapy, 30 minutes with patient 13,637 10,881 $551K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 21,582 2,981 $548K
J0573 Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine 14,225 573 $196K
T1016 Case management, each 15 minutes 3,379 1,960 $55K
90834 Psychotherapy, 45 minutes with patient 647 602 $40K
H2015 Comprehensive community support services, per 15 minutes 1,440 1,282 $36K
H0001 Alcohol and/or drug assessment 174 158 $35K
J0575 Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine 1,594 62 $28K
90791 Psychiatric diagnostic evaluation 231 180 $25K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 194 174 $25K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 34 34 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 149 131 $10K
J0571 Buprenorphine, oral, 1 mg 660 26 $9K
80305 635 573 $6K
90837 Psychotherapy, 53 minutes with patient 53 48 $5K
H2017 Psychosocial rehabilitation services, per 15 minutes 285 271 $4K
H2010 Comprehensive medication services, per 15 minutes 4,944 1,248 $2K
86580 241 169 $2K
H0004 Behavioral health counseling and therapy, per 15 minutes 235 223 $317.20
T1003 Lpn/lvn services, up to 15 minutes 231 215 $200.80
H0038 Self-help/peer services, per 15 minutes 55 51 $24.32
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) 6,783 2,164 $0.00
H0046 Mental health services, not otherwise specified 111 111 $0.00
93041 141 118 $0.00
H0031 Mental health assessment, by non-physician 21 21 $0.00
86593 415 335 $0.00