Medicaid Provider Spending

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

PINAL HISPANIC COUNCIL

NPI: 1235271404 · ELOY, AZ 85131 · Community/Behavioral Health Agency · NPI assigned 02/13/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LOPEZ, ROSE controls 20+ related entities in our dataset. Read more

$20.74M
Total Medicaid Paid
299,558
Total Claims
146,960
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPEZ, ROSE (PRESIDENT AND CEO)
NPI Enumeration Date02/13/2007

Related Entities

Other providers sharing the same authorized official: LOPEZ, ROSE

ProviderCityStateTotal Paid
COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. TUCSON AZ $99.10M
INTERMOUNTAIN HEALTH CENTER INC TUCSON AZ $22.85M
OPEN HEARTS PHOENIX AZ $20.01M
GROWING HOME SE CAYCE SC $5.48M
FAMILY SERVICE AGENCY PHOENIX AZ $4.67M
INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. TUCSON AZ $4.05M
PINAL HISPANIC COUNCIL INCORPORATED COOLIDGE AZ $2.16M
FAMILY SERVICE AGENCY MESA AZ $1.88M
FAMILY SERVICE AGENCY PHOENIX AZ $1.68M
COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. TUCSON AZ $1.51M
COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. TUCSON AZ $1.40M
PINAL HISPANIC COUNCIL NOGALES AZ $1.40M
COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. PHOENIX AZ $908K
BEHAVIORAL CONSULTATION SERVICES, INC. FLAGSTAFF AZ $697K
PINAL HISPANIC COUNCIL DOUGLAS AZ $498K
INTERMOUNTAIN HEALTH CENTER, INC. NOGALES AZ $376K
PINAL HISPANIC COUNCIL DOUGLAS AZ $361K
OPEN HEARTS TEMPE AZ $335K
ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC TUCSON AZ $310K
COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. YUMA AZ $302K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,365 $413K
2019 25,322 $1.27M
2020 34,923 $2.15M
2021 56,685 $4.31M
2022 47,873 $3.77M
2023 56,560 $4.57M
2024 56,830 $4.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 183,057 75,933 $8.21M
H0004 Behavioral health counseling and therapy, per 15 minutes 56,447 27,537 $8.00M
H0031 Mental health assessment, by non-physician 8,257 7,895 $1.61M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,288 13,939 $1.34M
90792 Psychiatric diagnostic evaluation with medical services 1,111 1,067 $264K
H0038 Self-help/peer services, per 15 minutes 3,595 1,447 $188K
S5110 Home care training, family; per 15 minutes 2,964 2,229 $179K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,821 3,492 $167K
H2025 Ongoing support to maintain employment, per 15 minutes 2,043 509 $96K
H0043 Supported housing, per diem 140 140 $95K
90837 Psychotherapy, 53 minutes with patient 407 201 $81K
S0215 Non-emergency transportation; mileage, per mile 3,950 1,586 $71K
H2027 Psychoeducational service, per 15 minutes 1,481 590 $71K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 625 577 $50K
T1002 Rn services, up to 15 minutes 2,124 1,848 $48K
H2014 Skills training and development, per 15 minutes 2,558 1,088 $40K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 1,499 1,482 $39K
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 1,570 871 $35K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 3,974 1,595 $35K
H0034 Medication training and support, per 15 minutes 1,915 650 $35K
99215 Prolong outpt/office vis 253 238 $29K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 1,303 1,062 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 538 456 $11K
H2011 Crisis intervention service, per 15 minutes 65 63 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 45 45 $6K
T1003 Lpn/lvn services, up to 15 minutes 232 203 $5K
A0160 Non-emergency transportation: per mile - case worker or social worker 279 200 $3K
99205 Prolong outpt/office vis 17 17 $2K