Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › DOUGLAS › SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC

SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC

NPI: 1932620390 · DOUGLAS, AZ 85607 · Community/Behavioral Health Agency · NPI assigned 07/06/2017

$4K
Total Medicaid Paid
114
Total Claims
81
Beneficiaries
4
Codes Billed
2018-03
First Month
2020-03
Last Month

Provider Details

Authorized OfficialHERNANDEZ, ESTELLA (CONTRACTS & CREDENTIALING ADMIN)
NPI Enumeration Date07/06/2017

Related Entities

Other providers sharing the same authorized official: HERNANDEZ, ESTELLA

ProviderCityStateTotal Paid
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. BENSON AZ $12.70M
LAFRONTERA CENTER INC. TUCSON AZ $360K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $168.00
2019 14 $760.33
2020 31 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31 28 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 14 $760.33
T1016 Case management, each 15 minutes 40 25 $168.00
H0004 Behavioral health counseling and therapy, per 15 minutes 29 14 $0.00