Behavioral
Spectrum Healthcare Group, INC
Spectrum Healthcare Group, INC was paid $1.53M by Medicaid between Feb 2020 and Jul 2024, across 22 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 43% of everything it billed.
33Billing provider infoSPECTRUM HEALTHCARE GROUP, INC
PRESCOTT, AZ 86301
PRESCOTT, AZ 86301
33aNPI1861048423assigned 08/09/2019
33bProvider typeClinical Social Worker
28Total paid$1.53M
24GClaims18,293
24DCodes billed22
24AFirst – last monthFeb 2020 – Jul 2024
Compared with peers
Next to other Clinical Social Worker providers in Arizona
Rank by total paid#6 of 61
Median peer was paid$18K
This provider vs. median86×
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 BAILEY, CORINNE controls 15+ 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 | |
|---|---|---|---|
| 2020 | 2,551 | $121K | |
| 2021 | 5,358 | $232K | |
| 2022 | 517 | $28K | |
| 2023 | 5,162 | $575K | |
| 2024incomplete | 4,705 | $577K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 43% | 4,486 | 2,032 | $659K |
| T1016 | Case management, each 15 minutes | 23% | 6,468 | 3,249 | $360K |
| H0031 | Mental health assessment, by non-physician | 12% | 726 | 724 | $188K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 1,528 | 1,349 | $104K |
| 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 | 5.2% | 806 | 689 | $80K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.7% | 1,328 | 1,033 | $73K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.5% | 1,773 | 1,537 | $39K |
| 0013A | <1% | 158 | 154 | $8K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 361 | 321 | $7K |
| 99442 | <1% | 56 | 48 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 13 | $2K |
| 0011A | <1% | 103 | 100 | $2K |
10 more codes
| 0003A | <1% | 32 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $1K |
| 0012A | <1% | 54 | $1K | |
| 80305 | <1% | 84 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $977.64 |
| 0001A | <1% | 13 | $417.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 17 | $69.43 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 153 | $55.92 |
| 3008F | 0% | 84 | $0.00 | |
| 3074F | 0% | 12 | $0.00 |
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 officialBAILEY, CORINNE (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $27.51M |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $7.61M |
| Spectrum Healthcare Group, INC | Cottonwood, AZ | $1.68M |
| Spectrum Healthcare Group, INC | Prescott, AZ | $1.30M |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $1.26M |
| Spectrum Healthcare Group, INC. | Camp Verde, AZ | $786K |
| Spectrum Healthcare Group, INC | Cottonwood, AZ | $778K |
| Spectrum Healthcare Group, INC | Prescott, AZ | $683K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $330K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $263K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $58K |
| Spectrum Healthcare Group, INC | Camp Verde, AZ | $42K |
| Spectrum Healthcare Group, INC. | Glendale, AZ | $28K |
| Spectrum Healthcare Group, INC | Sedona, AZ | $6K |
| Spectrum Healthcare Group, INC. | Tucson, AZ | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.