LA Frontera Center, INC.
LA Frontera Center, INC. was paid $136.19M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is T1016, Case management, each 15 minutes — 26% of everything it billed.
TUCSON, AZ 85713
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) 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 | 210,277 | $5.70M | |
| 2019 | 531,612 | $22.99M | |
| 2020 | 508,780 | $22.09M | |
| 2021 | 489,859 | $22.20M | |
| 2022 | 471,096 | $21.12M | |
| 2023 | 469,972 | $22.21M | |
| 2024incomplete | 423,952 | $19.87M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 26% | 1,002,552 | 475,138 | $35.87M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 24% | 137,265 | 8,026 | $32.84M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 16% | 364,490 | 157,004 | $21.12M |
| H0031 | Mental health assessment, by non-physician | 8.0% | 77,406 | 75,603 | $10.91M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 6.0% | 89,953 | 5,499 | $8.19M |
| H2010 | Comprehensive medication services, per 15 minutes | 3.4% | 423,454 | 36,265 | $4.59M |
| 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 | 3.1% | 62,303 | 57,484 | $4.27M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 74,528 | 66,991 | $3.61M |
| 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 | 2.0% | 17,264 | 2,861 | $2.75M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.0% | 18,997 | 18,319 | $2.70M |
| H2027 | Psychoeducational service, per 15 minutes | 1.2% | 44,055 | 18,469 | $1.67M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 1.2% | 567,449 | 36,452 | $1.64M |
51 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 10,307 | $1.04M |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 35,363 | $829K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 6,187 | $674K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 24,583 | $526K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 7,100 | $519K |
| S5110 | Home care training, family; per 15 minutes | <1% | 23,040 | $440K |
| H2014 | Skills training and development, per 15 minutes | <1% | 16,116 | $281K |
| T1002 | Rn services, up to 15 minutes | <1% | 7,709 | $241K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 10,476 | $232K |
| H0001 | Alcohol and/or drug assessment | <1% | 6,714 | $200K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,467 | $165K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 10,450 | $141K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,168 | $113K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,377 | $105K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 10,340 | $64K |
| H0033 | Oral medication administration, direct observation | <1% | 3,917 | $60K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,330 | $56K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 832 | $55K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,462 | $55K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 2,542 | $35K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 507 | $34K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 2,348 | $21K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 1,020 | $21K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 237 | $17K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 25,529 | $15K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 65 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,930 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 91 | $9K |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | <1% | 4,783 | $8K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 68 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 440 | $6K |
| H2012 | Behavioral health day treatment, per hour | <1% | 165 | $6K |
| 93000 | <1% | 437 | $6K | |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | <1% | 884 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 280 | $5K |
| H0034 | Medication training and support, per 15 minutes | <1% | 438 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 51 | $3K |
| 90674 | <1% | 81 | $2K | |
| 99201 | <1% | 44 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 19 | $2K |
| 90661 | <1% | 19 | $714.98 | |
| 90688 | <1% | 38 | $560.76 | |
| 83037 | <1% | 53 | $527.90 | |
| G0008 | Administration of influenza virus vaccine | <1% | 87 | $484.97 |
| 90686 | <1% | 28 | $452.00 | |
| 82962 | <1% | 103 | $262.88 | |
| G9921 | No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified | 0% | 122 | $0.00 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 13 | $0.00 |
| G9920 | Screening performed and negative | 0% | 373 | $0.00 |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 0% | 1,080 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 19 | $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 |
|---|---|---|
| LA Frontera Center, INC. | Tucson, AZ | $222K |
| LA Frontera Center, INC. | Tucson, AZ | $171K |
| Southeastern Arizona Behavioral Health Services INC | Sierra Vista, AZ | $123K |
| LA Frontera Center, INC. | Tucson, AZ | $64K |
| Southeastern Arizona Behavioral Health Services, INC. | Safford, AZ | $55K |
| LA Frontera Center, INC. | Tucson, AZ | $16K |
| LA Frontera Center, INC. | Tucson, AZ | $9K |
| LA Frontera Center, INC. | Tucson, AZ | $6K |
| LA Frontera Center, INC. | Tucson, AZ | $4K |
| LA Frontera Center, INC. | Tucson, AZ | $186.22 |
| LA Frontera Center, INC. | Tucson, AZ | $0.00 |
| LA Frontera Center, INC. | Tucson, AZ | $0.00 |
| LA Frontera Center, INC. | Tucson, AZ | $0.00 |
| Southeastern Arizona Behavioral Health Service, INC. | Willcox, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.