Agency
Pinal Hispanic Council
Pinal Hispanic Council was paid $1.40M by Medicaid between Jan 2018 and Apr 2024, across 15 billing codes. Its largest line is T1016, Case management, each 15 minutes — 44% of everything it billed.
33Billing provider infoPINAL HISPANIC COUNCIL
NOGALES, AZ 85621
NOGALES, AZ 85621
33aNPI1841592078assigned 11/19/2010
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.40M
24GClaims26,904
24DCodes billed15
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Arizona
Rank by total paid#221 of 474
Median peer was paid$1.18M
This provider vs. median1.2×
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 | 11,463 | $122K | |
| 2019 | 8,368 | $605K | |
| 2020 | 6,183 | $615K | |
| 2022 | 99 | $8K | |
| 2023 | 653 | $44K | |
| 2024incomplete | 138 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 44% | 12,687 | 4,523 | $616K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 27% | 3,073 | 1,798 | $379K |
| H0031 | Mental health assessment, by non-physician | 7.9% | 839 | 737 | $111K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 5.1% | 2,130 | 797 | $72K |
| H0038 | Self-help/peer services, per 15 minutes | 3.6% | 897 | 392 | $51K |
| 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 | 3.1% | 487 | 441 | $44K |
| S5110 | Home care training, family; per 15 minutes | 2.6% | 639 | 376 | $37K |
| H0034 | Medication training and support, per 15 minutes | 1.9% | 1,123 | 316 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 340 | 263 | $21K |
| S0215 | Non-emergency transportation; mileage, per mile | 1.1% | 1,328 | 461 | $16K |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,760 | 568 | $11K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 1,347 | 463 | $9K |
3 more codes
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 |
| 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 |
| 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.