Cope Community Services, INC.
Cope Community Services, INC. was paid $27.60M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is T1016, Case management, each 15 minutes — 23% of everything it billed.
TUCSON, AZ 85711
Next to other Addiction Medicine (Internal Medicine) Physician providers in Arizona
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 148,533 | $3.56M | |
| 2019 | 224,154 | $2.47M | |
| 2020 | 311,137 | $4.93M | |
| 2021 | 290,426 | $4.78M | |
| 2022 | 255,261 | $3.50M | |
| 2023 | 244,314 | $4.34M | |
| 2024incomplete | 208,523 | $4.02M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 23% | 384,932 | 216,809 | $6.28M |
| H2010 | Comprehensive medication services, per 15 minutes | 14% | 423,940 | 35,984 | $3.93M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 14% | 121,550 | 66,312 | $3.89M |
| H0031 | Mental health assessment, by non-physician | 11% | 37,403 | 34,634 | $2.99M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 8.5% | 23,466 | 3,699 | $2.34M |
| H2020 | Therapeutic behavioral services, per diem | 7.3% | 32,029 | 2,573 | $2.02M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.8% | 42,166 | 39,159 | $1.60M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 4.5% | 473,349 | 34,980 | $1.24M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 12,616 | 11,001 | $381K |
| H0038 | Self-help/peer services, per 15 minutes | 1.3% | 19,222 | 11,103 | $348K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 1.2% | 1,832 | 142 | $322K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 1.1% | 1,054 | 536 | $308K |
54 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 4,066 | $271K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 24,107 | $269K |
| 90837 | Psychotherapy session, about an hour | <1% | 4,222 | $229K |
| H0001 | Alcohol and/or drug assessment | <1% | 11,301 | $221K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 6,976 | $211K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,645 | $203K |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | <1% | 11,865 | $78K |
| S5110 | Home care training, family; per 15 minutes | <1% | 4,662 | $54K |
| 99205 | Prolong outpt/office vis | <1% | 394 | $43K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 3,784 | $42K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 949 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,866 | $31K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 380 | $30K |
| 93000 | <1% | 1,453 | $22K | |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,343 | $19K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 1,963 | $17K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 2,506 | $16K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 1,470 | $15K |
| H0034 | Medication training and support, per 15 minutes | <1% | 1,955 | $15K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 3,513 | $13K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,130 | $12K |
| H0033 | Oral medication administration, direct observation | <1% | 607 | $10K |
| 99385 | <1% | 90 | $9K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 90 | $7K |
| 86580 | <1% | 1,097 | $6K | |
| 80305 | <1% | 1,010 | $6K | |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | <1% | 4,706 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 752 | $4K |
| 94760 | <1% | 1,821 | $3K | |
| 99000 | <1% | 752 | $3K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 1,852 | $3K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 15 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 85 | $3K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 414 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 205 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 981 | $2K |
| H0046 | Mental health services, not otherwise specified | <1% | 459 | $2K |
| 99354 | <1% | 71 | $2K | |
| 99355 | <1% | 19 | $2K | |
| 82075 | <1% | 116 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 40 | $2K |
| 90686 | <1% | 95 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 102 | $1K |
| 99386 | <1% | 12 | $989.02 | |
| 99201 | <1% | 50 | $949.02 | |
| A6203 | Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 182 | $506.19 |
| 81002 | <1% | 251 | $411.69 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 61 | $402.52 |
| 90656 | <1% | 35 | $281.56 | |
| 82947 | <1% | 12 | $33.40 | |
| A6453 | Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard | <1% | 49 | $23.85 |
| 80354 | 0% | 148 | $0.00 | |
| H0043 | Supported housing, per diem | 0% | 27 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Cope Community Services, INC. | Tucson, AZ | $14.07M |
| Cope Community Services, INC. | Tucson, AZ | $11.69M |
| Cope Community Services, INC. | Tucson, AZ | $8.63M |
| Cope Community Services, INC. | Tucson, AZ | $8.26M |
| Cope Community Services, INC. | Tucson, AZ | $7.21M |
| Cope Community Services, INC. | Tucson, AZ | $4.37M |
| Cope Community Services, INC. | Tucson, AZ | $4.27M |
| Cope Community Services, INC. | Green Valley, AZ | $2.18M |
| Cope Community Services, INC. | Tucson, AZ | $1.85M |
| Cope Community Services, INC. | Tucson, AZ | $1.79M |
| Cope Community Services, INC. | Tucson, AZ | $1.65M |
| Cope Community Services, INC. | Tucson, AZ | $1.45M |
| Pima Prevention Partnership | Tucson, AZ | $724K |
| Cope Community Services, INC. | Tucson, AZ | $469K |
| Cope Community Services, INC. | Tucson, AZ | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.