Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › LAVEEN › GILA RIVER HEALTH CARE

GILA RIVER HEALTH CARE

NPI: 1730485822 · LAVEEN, AZ 85339 · Substance Abuse Rehabilitation Facility · NPI assigned 02/07/2011

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.

$16.06M
Total Medicaid Paid
69,233
Total Claims
3,892
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSANTIAGO, ANTHONY (CEO)
NPI Enumeration Date02/07/2011

Related Entities

Other providers sharing the same authorized official: SANTIAGO, ANTHONY

ProviderCityStateTotal Paid
GILA RIVER HEALTH CARE CORPORATION SACATON AZ $4.77M
GILA RIVER HEALTH CARE CORPORATION CHANDLER AZ $2.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,798 $2.57M
2019 15,393 $2.87M
2020 7,366 $2.00M
2021 6,074 $1.71M
2022 6,163 $1.69M
2023 8,768 $2.42M
2024 9,671 $2.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 65,783 2,784 $15.75M
H0004 Behavioral health counseling and therapy, per 15 minutes 3,450 1,108 $310K