Medicaid Provider Spending

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

WEST YAVAPAI GUIDANCE CLINIC

NPI: 1750335311 · PRESCOTT, AZ 86305 · Substance Abuse Rehabilitation Facility · NPI assigned 05/19/2006

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

97% of spending on code H0018 with only 3 total codes billed. Highly concentrated billing profile.

$6.60M
Total Medicaid Paid
50,303
Total Claims
3,550
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPLAYER, TAMARA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date05/19/2006

Related Entities

Other providers sharing the same authorized official: PLAYER, TAMARA

ProviderCityStateTotal Paid
WEST YAVAPAI GUIDANCE CLINIC, INC. PRESCOTT VALLEY AZ $18.66M
WEST YAVAPAI GUIDANCE CLINIC, INC. PRESCOTT AZ $15.58M
WEST YAVAPAI GUIDANCE CLINIC, INC. PRESCOTT VALLEY AZ $11.30M
WEST YAVAPAI GUIDANCE CLINIC, INC. PRESCOTT AZ $2.97M
WEST YAVAPAI GUIDANCE CLINIC INC PRESCOTT VALLEY AZ $1.92M
WEST YAVAPAI GUIDANCE CLINIC INC PRESCOTT VALLEY AZ $935K
WEST YAVAPAI GUIDANCE CLINIC, INC PRESCOTT AZ $466K
WEST YAVAPAI GUIDANCE CLINIC CAMP VERDE AZ $181K
WEST YAVAPAI GUIDANCE CLINIC, INC. PRESCOTT VALLEY AZ $169K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,601 $220K
2019 6,467 $635K
2020 5,348 $687K
2021 4,756 $633K
2022 6,118 $881K
2023 11,340 $1.81M
2024 10,673 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 38,904 2,770 $6.42M
H0046 Mental health services, not otherwise specified 11,370 767 $183K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29 13 $205.30