Medicaid Provider Spending

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

PINAL HISPANIC COUNCIL INCORPORATED

NPI: 1720185903 · COOLIDGE, AZ 85128 · Community/Behavioral Health Agency · NPI assigned 09/20/2006

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

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

$2.16M
Total Medicaid Paid
65,391
Total Claims
26,304
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPEZ, ROSE (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date09/20/2006

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
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
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 19,948 $165K
2019 20,777 $830K
2020 11,847 $493K
2021 1,608 $60K
2022 2,218 $99K
2023 5,403 $311K
2024 3,590 $207K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 39,116 13,309 $1.14M
H0004 Behavioral health counseling and therapy, per 15 minutes 5,108 2,897 $398K
H0031 Mental health assessment, by non-physician 1,551 1,468 $196K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,453 1,238 $125K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 2,151 508 $68K
S0215 Non-emergency transportation; mileage, per mile 5,156 1,774 $56K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 807 684 $49K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 5,201 1,770 $42K
H2027 Psychoeducational service, per 15 minutes 322 193 $18K
T1002 Rn services, up to 15 minutes 885 732 $17K
H2014 Skills training and development, per 15 minutes 2,463 918 $17K
H0043 Supported housing, per diem 12 12 $9K
90792 Psychiatric diagnostic evaluation with medical services 47 45 $9K
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) 545 230 $8K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 432 429 $5K
S5110 Home care training, family; per 15 minutes 36 29 $2K
H0038 Self-help/peer services, per 15 minutes 28 25 $1K
H0034 Medication training and support, per 15 minutes 38 14 $404.32
A0160 Non-emergency transportation: per mile - case worker or social worker 40 29 $0.00