Mountain Park Health Center
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 5 procedure codes: 59514 at 2.1× median, 99221 at 2.1× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Billing above the 90th percentile for 5 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers
Total spending distribution among 16 providers in this specialty
This provider's total spending of $352.1M is at the 90th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.
Above 90th percentile for this specialty — higher spending than 14 of 16 peers
Total Paid
$352.1M
$352,134,469
Total Claims
4.7M
Beneficiaries
3.7M
1.3 claims/patient
Avg Cost/Claim
$75
#194 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Mountain Park Health Center is a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in Phoenix, AZ. From the 2018–2024 period, this provider received $352.1M in Medicaid payments across 4.7M claims.
Why This Matters
This provider received $352.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 44,016 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 98% of total spending.
$345.4M
1.7M claims
$208.30
$121.16
Clinic visit/encounter, all-inclusive
$345.4M
1.7M claims · 98.1%
Vaginal delivery only
$3.8M
4K claims · 1.1%
$989K
16K claims
$60.38
$37.22
Hospital discharge day management, 30 minutes or less
$989K
16K claims · 0.3%
$517K
8K claims
$66.49
$62.48
Initial hospital or birthing center care, newborn, per day
$517K
8K claims · 0.1%
$276K
4K claims
$72.33
$58.55
Ultrasound, pregnant uterus, follow-up
$276K
4K claims · 0.1%
$207K
7K claims
$31.70
$16.77
Subsequent hospital care, per day, low complexity
$207K
7K claims · 0.1%
$136K
3K claims
$46.76
$36.79
Ultrasound, pregnant uterus, limited
$136K
3K claims · 0.0%
$128K
2K claims
$60.03
$49.45
Fetal biophysical profile with non-stress test
$128K
2K claims · 0.0%
$126K
1K claims
$98.98
$106.79
Ultrasound, pregnant uterus, detailed, single fetus
$126K
1K claims · 0.0%
Fetal non-stress test
$100K
10K claims · 0.0%
$63K
1K claims
$61.25
$58.16
Ultrasound, pregnant uterus, single fetus, first trimester
$63K
1K claims · 0.0%
Cesarean delivery only
$59K
63 claims · 0.0%
$52K
696 claims · 0.0%
$51K
500K claims
$0.10
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$51K
500K claims · 0.0%
$32K
501 claims
$64.06
$70.87
Ultrasound for fetal nuchal translucency measurement
$32K
501 claims · 0.0%
$25K
294 claims
$84.93
$39.96
Initial hospital care, straightforward/low
$25K
294 claims · 0.0%
$25K
861 claims · 0.0%
$24K
322 claims · 0.0%
$18K
292 claims
$61.98
$23.99
Subsequent hospital care, per day, moderate complexity
$18K
292 claims · 0.0%
$16K
137K claims
$0.12
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$16K
137K claims · 0.0%
$12K
44K claims
$0.27
$80.15
Preventive medicine, established patient, age 12-17
$12K
44K claims · 0.0%
$11K
56K claims
$0.20
$69.35
Preventive medicine, established patient, infant (under 1)
$11K
56K claims · 0.0%
$11K
182K claims
$0.06
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$11K
182K claims · 0.0%
$11K
62K claims
$0.17
$74.82
Preventive medicine, established patient, age 5-11
$11K
62K claims · 0.0%
$10K
55K claims
$0.19
$75.18
Preventive medicine, established patient, age 1-4
$10K
55K claims · 0.0%
$9K
81 claims · 0.0%
$9K
135 claims
$63.05
$47.65
Ultrasound, pregnant uterus, transvaginal
$9K
135 claims · 0.0%
$8K
100 claims
$83.76
$35.30
Subsequent hospital care, per day, high complexity
$8K
100 claims · 0.0%
$8K
79 claims
$101.07
$74.78
Ultrasound, pregnant uterus, complete, single fetus
$8K
79 claims · 0.0%
$7K
89K claims
$0.07
$6.93
Immunization admin, additional vaccine, counseling
$7K
89K claims · 0.0%
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