Residential
The River Source Treatment Center Casa Grande, LLC
The River Source Treatment Center Casa Grande, LLC was paid $23K by Medicaid between Aug 2023 and Aug 2024, across 1 billing code. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 100% of everything it billed.
33Billing provider infoTHE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
GILBERT, AZ 85233
GILBERT, AZ 85233
33aNPI1851004220assigned 01/02/2023
33bProvider typeChildren's Substance Abuse Rehabilitation Facility
28Total paid$23K
24GClaims112
24DCodes billed1
24AFirst – last monthAug 2023 – Aug 2024
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 | |
|---|---|---|---|
| 2023 | 43 | $9K | |
| 2024incomplete | 69 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | 100% | 112 | 110 | $23K |
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 officialVALENCIA, CHRISTINA (FINANCE DIRECTOR)