Pinal Hispanic Council
Pinal Hispanic Council was paid $361K by Medicaid between Jan 2018 and Jul 2020, across 9 billing codes. Its largest line is T1016, Case management, each 15 minutes — 50% of everything it billed.
DOUGLAS, AZ 85607
Next to other Community/Behavioral Health Agency providers in Arizona
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,206 | $26K | |
| 2019 | 2,420 | $129K | |
| 2020 | 3,309 | $206K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 50% | 6,163 | 3,183 | $182K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 23% | 1,012 | 519 | $82K |
| 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 | 13% | 529 | 477 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 328 | 309 | $21K |
| H0031 | Mental health assessment, by non-physician | 5.2% | 104 | 102 | $19K |
| S5110 | Home care training, family; per 15 minutes | 1.4% | 130 | 114 | $5K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 1.4% | 132 | 43 | $5K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 242 | 138 | $0.01 |
| H2014 | Skills training and development, per 15 minutes | 0% | 295 | 66 | $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.
Who's on the registration
| 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 |
| 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 |
| 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.