Agency
Pinal Hispanic Council
Pinal Hispanic Council was paid $20.74M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is T1016, Case management, each 15 minutes — 40% of everything it billed.
33Billing provider infoPINAL HISPANIC COUNCIL
ELOY, AZ 85131
ELOY, AZ 85131
33aNPI1235271404assigned 02/13/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$20.74M
24GClaims299,558
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Arizona
Rank by total paid#34 of 474
Median peer was paid$1.18M
This provider vs. median18×
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.
Entity ProliferationAuthorized official LOPEZ, ROSE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 56,830 | $4.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 40% | 183,057 | 75,933 | $8.21M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 39% | 56,447 | 27,537 | $8.00M |
| H0031 | Mental health assessment, by non-physician | 7.8% | 8,257 | 7,895 | $1.61M |
| 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 | 6.4% | 15,288 | 13,939 | $1.34M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 1,111 | 1,067 | $264K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 3,595 | 1,447 | $188K |
| S5110 | Home care training, family; per 15 minutes | <1% | 2,964 | 2,229 | $179K |
| 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% | 3,821 | 3,492 | $167K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 2,043 | 509 | $96K |
| H0043 | Supported housing, per diem | <1% | 140 | 140 | $95K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 407 | 201 | $81K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 3,950 | 1,586 | $71K |
16 more codes
| H2027 | Psychoeducational service, per 15 minutes | <1% | 1,481 | $71K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 625 | $50K |
| T1002 | Rn services, up to 15 minutes | <1% | 2,124 | $48K |
| H2014 | Skills training and development, per 15 minutes | <1% | 2,558 | $40K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 1,499 | $39K |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | <1% | 1,570 | $35K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 3,974 | $35K |
| H0034 | Medication training and support, per 15 minutes | <1% | 1,915 | $35K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 253 | $29K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 1,303 | $20K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 538 | $11K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 65 | $6K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 45 | $6K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 232 | $5K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | <1% | 279 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 17 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialLOPEZ, ROSE (PRESIDENT AND CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.