Behavioral
Community Medical Services Arizona-Private, LLC
Community Medical Services Arizona-Private, LLC was paid $10.33M by Medicaid between Oct 2019 and Dec 2024, across 23 billing codes. Its largest line is H2010, Comprehensive medication services, per 15 minutes — 33% of everything it billed.
33Billing provider infoCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
YUMA, AZ 85364
YUMA, AZ 85364
33aNPI1760043525assigned 06/24/2019
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$10.33M
24GClaims504,705
24DCodes billed23
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Arizona
Rank by total paid#13 of 107
Median peer was paid$636K
This provider vs. median16×
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.
Entity ProliferationAuthorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 6,049 | $132K | |
| 2020 | 66,022 | $1.23M | |
| 2021 | 92,875 | $1.72M | |
| 2022 | 92,998 | $1.93M | |
| 2023 | 122,783 | $2.61M | |
| 2024incomplete | 123,978 | $2.70M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2010 | Comprehensive medication services, per 15 minutes | 33% | 217,888 | 15,285 | $3.40M |
| 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 | 13% | 13,463 | 10,442 | $1.39M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 11% | 17,027 | 12,136 | $1.18M |
| T1016 | Case management, each 15 minutes | 9.1% | 40,827 | 13,085 | $941K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 8.9% | 21,605 | 1,026 | $915K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 5.4% | 128,685 | 13,752 | $555K |
| H0031 | Mental health assessment, by non-physician | 5.3% | 2,803 | 2,643 | $547K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4.7% | 11,821 | 9,661 | $481K |
| T1002 | Rn services, up to 15 minutes | 3.6% | 14,396 | 9,529 | $370K |
| H0033 | Oral medication administration, direct observation | 1.5% | 9,418 | 991 | $156K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 1.4% | 14,989 | 748 | $145K |
| T1003 | Lpn/lvn services, up to 15 minutes | 1.1% | 5,714 | 3,871 | $114K |
11 more codes
| H0038 | Self-help/peer services, per 15 minutes | <1% | 2,580 | $59K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 305 | $34K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 1,005 | $11K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 196 | $8K |
| 80305 | <1% | 610 | $7K | |
| 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) | <1% | 710 | $3K |
| J0573 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | <1% | 173 | $2K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 230 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $1K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 229 | $653.27 |
| 86803 | <1% | 15 | $242.31 |
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 officialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.