Behavioral
Open Hearts
Open Hearts was paid $20.01M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is T1016, Case management, each 15 minutes — 35% of everything it billed.
33Billing provider infoOPEN HEARTS
PHOENIX, AZ 85015
PHOENIX, AZ 85015
33aNPI1265544324assigned 08/31/2006
33bProvider typeSocial Worker
28Total paid$20.01M
24GClaims499,342
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Social Worker providers in Arizona
Rank by total paid#2 of 10
Median peer was paid$38K
This provider vs. median525×
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 | 68,795 | $755K | |
| 2019 | 62,707 | $3.03M | |
| 2020 | 85,643 | $3.45M | |
| 2021 | 73,469 | $3.45M | |
| 2022 | 70,352 | $3.36M | |
| 2023 | 91,039 | $3.70M | |
| 2024incomplete | 47,337 | $2.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 35% | 313,467 | 71,105 | $7.03M |
| H2014 | Skills training and development, per 15 minutes | 29% | 69,424 | 13,891 | $5.84M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 15% | 44,215 | 21,097 | $3.08M |
| S5110 | Home care training, family; per 15 minutes | 9.3% | 28,100 | 11,708 | $1.87M |
| H0031 | Mental health assessment, by non-physician | 5.8% | 10,847 | 10,229 | $1.16M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.4% | 3,142 | 3,070 | $480K |
| 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 | 1.8% | 8,758 | 8,045 | $352K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 8,466 | 2,416 | $73K |
| 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% | 1,332 | 1,247 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 387 | 331 | $37K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 3,883 | 2,249 | $19K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 6,015 | 1,747 | $13K |
6 more codes
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 433 | $6K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 307 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 127 | $2K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 91 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $122.96 |
| 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 | 0% | 334 | $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.
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 |
| Pinal Hispanic Council | Eloy, AZ | $20.74M |
| 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.