La Frontera Center Inc.
Clinic/Center Mental Health (Including Community Mental Health Center)
Tucson, Arizona
NPI: 1093810889
Risk Tier
Critical
Total Paid
$136.2M
$136,186,368
Total Claims
3.1M
Beneficiaries
1.1M
Avg Cost/Claim
$43.85
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (3)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $5.7M (2018) to $23.0M (2019) — a 304% swing with $17.3M absolute change.
High Claims Per Patient
Filing an unusually high number of claims per beneficiary compared to peers.
Spending Spike
Experienced a dramatic increase in billing over a short period.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 70.9x in 2018-09 — a statistically significant structural change in billing behavior was detected.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024