Is SAN TAN BEHAVIORAL HEALTH SERVICES flagged for Medicaid fraud?

SAN TAN BEHAVIORAL HEALTH SERVICES (NPI: 1225206444) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does SAN TAN BEHAVIORAL HEALTH SERVICES bill Medicaid?

SAN TAN BEHAVIORAL HEALTH SERVICES received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in GILBERT, AZ.

What is NPI 1225206444?

NPI 1225206444 is the National Provider Identifier for SAN TAN BEHAVIORAL HEALTH SERVICES. They are a Community/Behavioral Health provider based in GILBERT, AZ. This NPI is registered with the CMS NPI Registry.

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SAN TAN BEHAVIORAL HEALTH SERVICES

Community/Behavioral Health·GILBERT, AZ·NPI: 1225206444Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $45.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$45.4M

$45,405,682

Total Claims

904K

Beneficiaries

220K

4.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018

$8.7M

-10%

2019

$7.9M

+9%

2020

$8.6M

-24%

2021

$6.5M

-28%

2022

$4.7M

+7%

2023

$5.1M

-23%

2024

$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H2017 (Psychosocial rehabilitation services, per 15 min)) accounts for 17% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$7.5M

20K claims

$385.07

$91.63

4.2×

Top 5%

H2017Top 5%

Psychosocial rehabilitation services, per 15 min

$7.5M

20K claims · 16.6%

Your Cost: $385.07/claim|Median: $91.63

4.2× median

T1016Case management, each 15 minSee all providers →

$7.2M

354K claims

$20.25

$49.62

0.4×

Normal range

T1016Normal range

Case management, each 15 min

$7.2M

354K claims · 15.8%

Your Cost: $20.25/claim|Median: $49.62

0.4× median

H2014Skills training & development, per 15 minSee all providers →

$7.1M

141K claims

$50.11

$83.88

0.6×

Normal range

H2014Normal range

Skills training & development, per 15 min

$7.1M

141K claims · 15.6%

Your Cost: $50.11/claim|Median: $83.88

0.6× median

H0031Mental health assessment by non-physicianSee all providers →

$5.8M

42K claims

$138.86

$96.18

1.4×

Normal range

H0031Normal range

Mental health assessment by non-physician

$5.8M

42K claims · 12.9%

Your Cost: $138.86/claim|Median: $96.18

1.4× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$5.3M

66K claims

$80.42

$74.63

1.1×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$5.3M

66K claims · 11.7%

Your Cost: $80.42/claim|Median: $74.63

1.1× median

S0215Non-invasive prenatal screening, fetal chromosomal abnormalitiesSee all providers →

$4.5M

103K claims

$43.82

$21.33

2.1×

Normal range

S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$4.5M

103K claims · 10.0%

Your Cost: $43.82/claim|Median: $21.33

2.1× median

S5110Home care training, family; per 15 minSee all providers →

$3.4M

25K claims

$138.93

$74.36

1.9×

Top 25%

S5110Top 25%

Home care training, family; per 15 min

$3.4M

25K claims · 7.5%

Your Cost: $138.93/claim|Median: $74.36

1.9× median

A0120Non-emergency mini-bus transportSee all providers →

$2.0M

101K claims

$19.44

$16.09

1.2×

Normal range

A0120Normal range

Non-emergency mini-bus transport

$2.0M

101K claims · 4.3%

Your Cost: $19.44/claim|Median: $16.09

1.2× median

T1019Personal care services, per 15 minSee all providers →

$1.3M

14K claims

$93.13

$82.47

1.1×

Normal range

T1019Normal range

Personal care services, per 15 min

$1.3M

14K claims · 2.8%

Your Cost: $93.13/claim|Median: $82.47

1.1× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$1.3M

28K claims

$44.45

$84.12

0.5×

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

$1.3M

28K claims · 2.8%

Your Cost: $44.45/claim|Median: $84.12

0.5× median

H0002Behavioral health screeningSee all providers →

$82K

4,438 claims

$18.38

$38.77

0.5×

Normal range

H0002Normal range

Behavioral health screening

$82K

4,438 claims · 0.2%

Your Cost: $18.38/claim|Median: $38.77

0.5× median

A0160 See all providers →

$17K

3,922 claims

$4.45

$12.60

0.4×

Normal range

A0160Normal range

$17K

3,922 claims · 0.0%

Your Cost: $4.45/claim|Median: $12.60

0.4× median

A0100Non-emergency transportation; per tripSee all providers →

2,092 claims

$0.00

$24.72

—

Normal range

A0100Normal range

Non-emergency transportation; per trip

2,092 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.72

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