Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PASCUA YAQUI TRIBE

NPI: 1144350257 · TUCSON, AZ 85746 · Community/Behavioral Health Agency · NPI assigned 03/07/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

$2.01M
Total Medicaid Paid
40,173
Total Claims
21,595
Beneficiary Records
2
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGUERRERO, LINDA (DELEGATED OFFICIAL)
Parent OrganizationPASCUA YAQUI TRIBE
NPI Enumeration Date03/07/2007

Related Entities

Other providers sharing the same authorized official: GUERRERO, LINDA

ProviderCityStateTotal Paid
PASCUA YAQUI TRIBE GUADALUPE AZ $997K
PASCUA YAQUI TRIBE TUCSON AZ $994K
PASCUA YAQUI TRIBE TUCSON AZ $607K
PASCUA YAQUI TRIBE TUCSON AZ $473K
PASCUA YAQUI TRIBE TUCSON AZ $317K
PASCUA YAQUI TRIBE TUCSON AZ $120K
PASCUA YAQUI TRIBE TUCSON AZ $63K
PASCUA YAQUI TRIBE TUCSON AZ $44K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,094 $280K
2019 6,533 $327K
2020 8,223 $481K
2021 6,098 $317K
2022 4,785 $238K
2023 4,186 $203K
2024 3,254 $163K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
T1016 Case management, each 15 minutes 39,956 21,455 $1.99M
H0004 Behavioral health counseling and therapy, per 15 minutes 217 140 $17K