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

Gila River Health Care

Gila River Health Care was paid $16.06M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 98% of everything it billed.

33Billing provider infoGILA RIVER HEALTH CARE
LAVEEN, AZ 85339
33aNPI1730485822assigned 02/07/2011
28Total paid$16.06M
24GClaims69,233
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Arizona

Rank by total paid#8 of 87
Median peer was paid$1.32M
This provider vs. median12×

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.

Single-Code Concentration98% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
201815,798$2.57M
201915,393$2.87M
20207,366$2.00M
20216,074$1.71M
20226,163$1.69M
20238,768$2.42M
2024incomplete9,671$2.79M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 98% 65,783 2,784 $15.75M
H0004 Behavioral health counseling and therapy, per 15 minutes 1.9% 3,450 1,108 $310K

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 officialSANTIAGO, ANTHONY (CEO)
Same official

Other billing entities under SANTIAGO, ANTHONY

Full network →
ProviderLocationPaid
Gila River Health Care CorporationSacaton, AZ$4.77M
Gila River Health Care CorporationChandler, AZ$2.50M

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