Is RED MOUNTAIN BEHAVIORAL HEALTH SERVICES LLC flagged for Medicaid fraud?

RED MOUNTAIN BEHAVIORAL HEALTH SERVICES LLC (NPI: 1811289010) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does RED MOUNTAIN BEHAVIORAL HEALTH SERVICES LLC bill Medicaid?

RED MOUNTAIN BEHAVIORAL HEALTH SERVICES LLC 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 1811289010?

NPI 1811289010 is the National Provider Identifier for RED MOUNTAIN BEHAVIORAL HEALTH SERVICES LLC. They are a Community/Behavioral Health provider based in GILBERT, AZ. This NPI is registered with the CMS NPI Registry.

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RED MOUNTAIN BEHAVIORAL HEALTH SERVICES LLC

Community/Behavioral Health·GILBERT, AZ·NPI: 1811289010Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.3M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$47.3M

$47,339,973

Total Claims

663K

Beneficiaries

132K

5.0 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018

$9.8M

+17%

2019

$11.5M

-21%

2020

$9.1M

-32%

2021

$6.2M

-25%

2022

$4.7M

-0%

2023

$4.7M

-71%

2024

$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (S5150 (Unskilled respite care, per 15 min)) accounts for 26% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S5150Unskilled respite care, per 15 minSee all providers →

$12.4M

68K claims

$181.82

$84.46

2.2×

Top 25%

S5150Top 25%

Unskilled respite care, per 15 min

$12.4M

68K claims · 26.2%

Your Cost: $181.82/claim|Median: $84.46

2.2× median

T1016Case management, each 15 minSee all providers →

$10.2M

331K claims

$30.78

$49.62

0.6×

Normal range

T1016Normal range

Case management, each 15 min

$10.2M

331K claims · 21.5%

Your Cost: $30.78/claim|Median: $49.62

0.6× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$6.8M

11K claims

$639.34

$91.63

7.0×

Top 5%

H2017Top 5%

Psychosocial rehabilitation services, per 15 min

$6.8M

11K claims · 14.3%

Your Cost: $639.34/claim|Median: $91.63

7.0× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$4.2M

78K claims

$53.52

$215.80

0.2×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$4.2M

78K claims · 8.8%

Your Cost: $53.52/claim|Median: $215.80

0.2× median

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

$3.8M

32K claims

$117.75

$74.63

1.6×

Top 25%

H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$3.8M

32K claims · 8.0%

Your Cost: $117.75/claim|Median: $74.63

1.6× median

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

$3.3M

48K claims

$68.69

$21.33

3.2×

Top 25%

S0215Top 25%

Non-invasive prenatal screening, fetal chromosomal abnormalities

$3.3M

48K claims · 6.9%

Your Cost: $68.69/claim|Median: $21.33

3.2× median

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

$3.0M

14K claims

$209.27

$74.36

2.8×

Top 10%

S5110Top 10%

Home care training, family; per 15 min

$3.0M

14K claims · 6.3%

Your Cost: $209.27/claim|Median: $74.36

2.8× median

H0031Mental health assessment by non-physicianSee all providers →

$1.8M

9,590 claims

$184.88

$96.18

1.9×

Top 25%

H0031Top 25%

Mental health assessment by non-physician

$1.8M

9,590 claims · 3.7%

Your Cost: $184.88/claim|Median: $96.18

1.9× median

A0120Non-emergency mini-bus transportSee all providers →

$913K

48K claims

$19.18

$16.09

1.2×

Normal range

A0120Normal range

Non-emergency mini-bus transport

$913K

48K claims · 1.9%

Your Cost: $19.18/claim|Median: $16.09

1.2× median

H2014Skills training & development, per 15 minSee all providers →

$504K

11K claims

$47.44

$83.88

0.6×

Normal range

H2014Normal range

Skills training & development, per 15 min

$504K

11K claims · 1.1%

Your Cost: $47.44/claim|Median: $83.88

0.6× median

H2015Comprehensive community support services, per 15 minSee all providers →

$292K

2,436 claims

$119.93

$96.24

1.2×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$292K

2,436 claims · 0.6%

Your Cost: $119.93/claim|Median: $96.24

1.2× median

H0002Behavioral health screeningSee all providers →

$247K

8,897 claims

$27.77

$38.77

0.7×

Normal range

H0002Normal range

Behavioral health screening

$247K

8,897 claims · 0.5%

Your Cost: $27.77/claim|Median: $38.77

0.7× median

H2012Behavioral health day treatment, per hourSee all providers →

$56K

2,084 claims

$26.69

$137.86

0.2×

Normal range

H2012Normal range

Behavioral health day treatment, per hour

$56K

2,084 claims · 0.1%

Your Cost: $26.69/claim|Median: $137.86

0.2× median

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