Is SAGE COUNSELING, INC. flagged for Medicaid fraud?

SAGE COUNSELING, INC. (NPI: 1891294021) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does SAGE COUNSELING, INC. bill Medicaid?

SAGE COUNSELING, INC. 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 PHOENIX, AZ.

What is NPI 1891294021?

NPI 1891294021 is the National Provider Identifier for SAGE COUNSELING, INC.. They are a Community/Behavioral Health provider based in PHOENIX, AZ. This NPI is registered with the CMS NPI Registry.

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SAGE COUNSELING, INC.

Community/Behavioral Health·PHOENIX, AZ·NPI: 1891294021Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.5M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-10→2024-12(75 months)

Total Paid

$40.5M

$40,487,096

Total Claims

742K

Beneficiaries

267K

2.8 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018

$522K

+602%

2019

$3.7M

+5%

2020

$3.8M

+64%

2021

$6.3M

+22%

2022

$7.7M

+35%

2023

$10.3M

-22%

2024

$8.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 71% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$28.8M

518K claims

$55.71

$74.63

0.7×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$28.8M

518K claims · 71.2%

Your Cost: $55.71/claim|Median: $74.63

0.7× median

H0031Mental health assessment by non-physicianSee all providers →

$5.2M

39K claims

$134.23

$96.18

1.4×

Normal range

H0031Normal range

Mental health assessment by non-physician

$5.2M

39K claims · 12.8%

Your Cost: $134.23/claim|Median: $96.18

1.4× median

T1016Case management, each 15 minSee all providers →

$4.6M

148K claims

$30.90

$49.62

0.6×

Normal range

T1016Normal range

Case management, each 15 min

$4.6M

148K claims · 11.3%

Your Cost: $30.90/claim|Median: $49.62

0.6× median

H0025Behavioral health prevention education, per sessionSee all providers →

$810K

16K claims

$49.90

$36.25

1.4×

Normal range

H0025Normal range

Behavioral health prevention education, per session

$810K

16K claims · 2.0%

Your Cost: $49.90/claim|Median: $36.25

1.4× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$678K

7,129 claims

$95.10

$129.75

0.7×

Normal range

H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$678K

7,129 claims · 1.7%

Your Cost: $95.10/claim|Median: $129.75

0.7× median

H0001Alcohol and/or drug assessmentSee all providers →

$401K

11K claims

$35.51

$94.22

0.4×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$401K

11K claims · 1.0%

Your Cost: $35.51/claim|Median: $94.22

0.4× median

H0023Behavioral health outreach service, per 15 minutesSee all providers →

$18K

1,365 claims

$13.55

$53.97

0.3×

Normal range

H0023Normal range

Behavioral health outreach service, per 15 minutes

$18K

1,365 claims · 0.0%

Your Cost: $13.55/claim|Median: $53.97

0.3× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$10K

708 claims

$13.81

$55.04

0.3×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$10K

708 claims · 0.0%

Your Cost: $13.81/claim|Median: $55.04

0.3× median

T1013Sign language or oral interpretive services, per 15 minutesSee all providers →

$9K

1,084 claims

$8.14

$17.67

0.5×

Normal range

T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$9K

1,084 claims · 0.0%

Your Cost: $8.14/claim|Median: $17.67

0.5× median

A0160 See all providers →

$941

519 claims

$1.81

$12.60

0.1×

Normal range

A0160Normal range

$941

519 claims · 0.0%

Your Cost: $1.81/claim|Median: $12.60

0.1× median

A0110Non-emergency taxi transportSee all providers →

$12

128 claims

$0.10

$9.27

0.0×

Normal range

A0110Normal range

Non-emergency taxi transport

$12

128 claims · 0.0%

Your Cost: $0.10/claim|Median: $9.27

0.0× median

G9919 See all providers →

65 claims

$0.00

$8.66

—

Normal range

G9919Normal range

65 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.66

G9921 See all providers →

139 claims

$0.00

$0.60

—

Normal range

G9921Normal range

139 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.60

G9920 See all providers →

23 claims

$0.00

$6.56

—

Normal range

G9920Normal range

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.56

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