Medicaid Provider Spending

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

OPEN HEARTS

NPI: 1265544324 · PHOENIX, AZ 85015 · Social Worker · NPI assigned 08/31/2006

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

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

$20.01M
Total Medicaid Paid
499,342
Total Claims
147,903
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, ROSE (PRESIDENT AND CEO)
NPI Enumeration Date08/31/2006

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 47,337 $2.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 313,467 71,105 $7.03M
H2014 Skills training and development, per 15 minutes 69,424 13,891 $5.84M
H0004 Behavioral health counseling and therapy, per 15 minutes 44,215 21,097 $3.08M
S5110 Home care training, family; per 15 minutes 28,100 11,708 $1.87M
H0031 Mental health assessment, by non-physician 10,847 10,229 $1.16M
90792 Psychiatric diagnostic evaluation with medical services 3,142 3,070 $480K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,758 8,045 $352K
S0215 Non-emergency transportation; mileage, per mile 8,466 2,416 $73K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,332 1,247 $42K
99215 Prolong outpt/office vis 387 331 $37K
T1013 Sign language or oral interpretive services, per 15 minutes 3,883 2,249 $19K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 6,015 1,747 $13K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 433 228 $6K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 307 305 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 127 115 $2K
H2017 Psychosocial rehabilitation services, per 15 minutes 91 56 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 13 $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 334 51 $0.00