Arizona Medicaid Spending
Arizona's Medicaid program paid $8.49B across 34 providers from 2018–2024. 99 providers in Arizona are flagged on our risk watchlist. The top procedure code is S5125 (Attendant care services, per 15 min) at $1.79B.
Read our investigation
The Arizona Problem: New Clinics, Massive Billing →New behavioral health clinics appearing overnight and immediately billing millions in Medicaid funds.
Total Spending
$8.49B
Total Claims
164.4M
Top Providers
34
Beneficiaries
109.7M
Flagged Providers
99
on risk watchlist
Avg Per Provider
$249.6M
across 34 providers
Yearly Spending Trend
Top Providers in Arizona
Acumen Fiscal Agent LLC
Community/Behavioral Health · Mesa
$1.06B
10.5M claims
Arion Care Solutions LLC
In Home Supportive Care · Chandler
$606.7M
5.8M claims
Phoenix Children's Hospital
General Acute Care Hospital Children · Phoenix
$555.7M
4.2M claims
National Mentor Healthcare
Day Training, Developmentally Disabled Services · Phoenix
$459.7M
2.1M claims
El Rio Santa Cruz Neighborhood Health Center, INC
Clinic/Center, Federally Qualified Health Center ( · Tucson
$360.3M
4.4M claims
Mountain Park Health Center
Clinic/Center, Federally Qualified Health Center ( · Phoenix
$352.1M
4.7M claims
The Tungland Company, LLC
Residential Treatment Facility, Intellectual and/o · Phoenix
$331.8M
1.2M claims
Sonora Quest Laboratories LLC
Clinical Medical Laboratory · Phoenix
$298.1M
28.5M claims
Yuma Regional Medical Center
General Acute Care Hospital · Yuma
$278.4M
6.9M claims
Ability360, Inc,
Community Based Residential Treatment Facility, In · Phoenix
$274.7M
1.8M claims
Laboratory Corporation of America
Clinical Medical Laboratory · Phoenix
$265.9M
31.0M claims
Maricopa County Special Health Care District
General Acute Care Hospital · Phoenix
$251.5M
4.6M claims
Adelante Healthcare, Inc.
Family Medicine · Phoenix
$245.9M
2.3M claims
Instant Care of Arizona
Home Health · Phoenix
$229.9M
1.8M claims
Banner Desert Medical Center
General Acute Care Hospital · Mesa
$199.6M
3.9M claims
Banner - University Medical Center Tucson Campus LLC
Clinic/Center, Multi-Specialty · Tucson
$194.4M
3.6M claims
Community Bridges Inc.
Community/Behavioral Health · Mesa
$172.9M
4.2M claims
American Medical Response of Maricopa, LLC
Ambulance, Land Transport · Mesa
$171.3M
948K claims
Phoenix Children's Hospital
Pediatrics · Phoenix
$162.4M
2.8M claims
Nextcare Arizona LLC
Clinic/Center, Urgent Care · Tempe
$161.3M
1.7M claims
Creative Networks, L.l.c.
Case Management · Phoenix
$159.7M
1.7M claims
Banner - University Medical Center Phoenix
Clinic/Center, Sleep Disorder Diagnostic · Phoenix
$140.8M
3.8M claims
Banner Thunderbird Medical Center
Community/Behavioral Health · Glendale
$140.3M
3.4M claims
City of Phoenix Arizona
Emergency Medical Technician Paramedic · Phoenix
$138.9M
793K claims
La Frontera Center Inc.
Clinic/Center Mental Health (Including Community · Tucson
$136.2M
3.1M claims
Banner-university Medical Group
Clinic/Center, Primary Care · Phoenix
$133.7M
2.5M claims
United Cerebral Palsy of Southern Arizona, INC
Home Health · Tucson
$131.5M
1.3M claims
District Medical Group, INC
Anesthesiology · Phoenix
$130.6M
1.8M claims
Tucson Medical Center
Clinic/Center, Hearing and Speech · Tucson
$127.3M
3.8M claims
Dignity Health
Rehabilitation Unit · Phoenix
$126.2M
3.2M claims
Total Transit INC
Non-emergency Medical Transport (VAN) · Glendale
$124.6M
11.1M claims
Arizona Consumer Direct Personal Care
Home Health · Tucson
$121.5M
412K claims
Winslow Indian Health Care Center INC
Clinic/Center Public Health Federal · Winslow
$121.2M
235K claims
Maricopa Ambulance, LLC
Ambulance, Land Transport · Phoenix
$119.4M
601K claims
Flagged Providers in Arizona
Phoenix Children's Hospital
$555.7M
2 flags
Happy House Behavioral Valley
$62.3M
2 flags
Motherland Counseling LLC
$41.9M
2 flags
Danville Services of Arizona L.l.c.
$32.3M
2 flags
Kls Behavioral Health LLC
$16.9M
2 flags
Acumen Fiscal Agent LLC
$1.06B
1 flag
Arion Care Solutions LLC
$606.7M
1 flag
El Rio Santa Cruz Neighborhood Health Center, INC
$360.3M
1 flag
Mountain Park Health Center
$352.1M
1 flag
Sonora Quest Laboratories LLC
$298.1M
1 flag
Showing 10 of 99 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in Arizona
| Code | Total Paid |
|---|---|
| S5125 Attendant care services, per 15 min | $1.79B |
| T1015 Clinic visit/encounter, all-inclusive | $1.01B |
| T2016 Habilitation, residential, waiver; per diem | $709.9M |
| 99284 Emergency dept visit, high complexity | $326.5M |
| 99285 Emergency dept visit, high/urgent complexity | $308.0M |
| T2017 Habilitation, residential, waiver; 15 min | $281.8M |
| 99283 Emergency dept visit, moderate complexity | $258.5M |
| S5150 Unskilled respite care, per 15 min | $212.6M |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $210.7M |
| A0427 Ambulance, ALS emergency transport Level 1 | $173.0M |
| U0003 Infectious disease detection (COVID-19) | $162.2M |
| A0425 Ground mileage, per statute mile | $136.0M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $132.2M |
| 74177 CT abdomen and pelvis with contrast | $126.2M |
| A0429 Ambulance, BLS emergency transport | $94.7M |