Agency
Gellert Health
Gellert Health was paid $7.25M by Medicaid between Jan 2021 and Dec 2024, across 1 billing code. Its largest line is H0038, Self-help/peer services, per 15 minutes — 100% of everything it billed.
33Billing provider infoGELLERT HEALTH
PHOENIX, AZ 85004
PHOENIX, AZ 85004
33aNPI1891334967assigned 01/06/2020
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$7.25M
24GClaims79,789
24DCodes billed1
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Arizona
Rank by total paid#85 of 474
Median peer was paid$1.18M
This provider vs. median6.1×
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.
Single-Code Concentration100% of spending on code H0038 with only 1 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2021 | 8,665 | $768K | |
| 2022 | 18,187 | $1.58M | |
| 2023 | 24,469 | $2.06M | |
| 2024incomplete | 28,468 | $2.84M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 100% | 79,789 | 10,824 | $7.25M |
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 officialGELLERT, VIVIENNE (CEO)