Arizona Consumer Direct Personal Care
Home Health
Tucson, Arizona
NPI: 1386854370
Risk Tier
Elevated
Total Paid
$121.5M
$121,450,350
Total Claims
412K
Beneficiaries
79K
Avg Cost/Claim
$294.58
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $316.65 per claim for S5125 (Attendant care services, per 15 min), which is 3.8× the national median of $82.34.
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