Medicaid Provider Spending

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

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

NPI: 1760043525 · YUMA, AZ 85364 · Addiction (Substance Use Disorder) Counselor · NPI assigned 06/24/2019

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

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

$10.33M
Total Medicaid Paid
504,705
Total Claims
96,542
Beneficiaries
23
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
NPI Enumeration Date06/24/2019

Related Entities

Other providers sharing the same authorized official: GAITHER, CINDY

ProviderCityStateTotal Paid
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC SCOTTSDALE AZ $43.25M
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 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
2019 6,049 $132K
2020 66,022 $1.23M
2021 92,875 $1.72M
2022 92,998 $1.93M
2023 122,783 $2.61M
2024 123,978 $2.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 217,888 15,285 $3.40M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,463 10,442 $1.39M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 17,027 12,136 $1.18M
T1016 Case management, each 15 minutes 40,827 13,085 $941K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 21,605 1,026 $915K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 128,685 13,752 $555K
H0031 Mental health assessment, by non-physician 2,803 2,643 $547K
H0004 Behavioral health counseling and therapy, per 15 minutes 11,821 9,661 $481K
T1002 Rn services, up to 15 minutes 14,396 9,529 $370K
H0033 Oral medication administration, direct observation 9,418 991 $156K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 14,989 748 $145K
T1003 Lpn/lvn services, up to 15 minutes 5,714 3,871 $114K
H0038 Self-help/peer services, per 15 minutes 2,580 1,608 $59K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 305 269 $34K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 1,005 321 $11K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 196 195 $8K
80305 610 552 $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) 710 239 $3K
J0573 Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine 173 27 $2K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 230 66 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 15 $1K
S0215 Non-emergency transportation; mileage, per mile 229 66 $653.27
86803 15 15 $242.31