Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Happy House Behavioral Valley

Clinic/Center, Mental Health (Including Community Mental Health Center)

Phoenix, Arizona

NPI: 1376263657

Risk Tier

Critical

Total Paid

$62.3M

$62,264,607

Total Claims

97K

Beneficiaries

14K

Avg Cost/Claim

$643.61

Statistical Fraud Flags (3)

Billing Swing

Experienced over 200% change in year-over-year billing with >$1M absolute change.

Billing changed from $11.6M (2022) to $50.7M (2023) — a 337% swing with $39.1M absolute change.

New Entrant

Started billing recently but already receiving millions in Medicaid payments.

First appeared in 2022-09 and has already billed $62.3M, averaging $5.7M/month across 11 months.

Instant Volume

New provider billing over $1M in their first year of Medicaid participation.

Billed $11.6M in first year (2022).

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