april_2024.xlsx
XLSX spreadsheet 24 KB Posted
- Solicitation number
- BPM007036
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a healthcare billing and claims data file from Arizona Medicaid documenting behavioral health services provided during April 2024. The file contains patient billing records from Arizona Behavioral Health facilities, listing individual patient names, service dates, clinical procedure codes (H2016), and associated charges and payment information. The data spans the entire month of April 2024, with service entries distributed across multiple dates throughout the period. Each record documents a single unit of service billed at $322.08, with consistent formatting showing zero payments received and zero adjustments applied, indicating outstanding balances owed by Arizona Medicaid for all documented services.
The file represents claims data rather than a procurement document and does not contain contract specifications, pricing terms, set-asides, bidder information, or award details. The consistent billing pattern across 48 individual patients receiving H2016 services (community-based behavioral health services) suggests ongoing program delivery throughout April 2024. The uniform charge amounts and zero payment status indicate potential billing or reimbursement processing delays or claim disputes with the Arizona Medicaid program. This data appears disconnected from the related Community Accountability Program Services for Community Corrections procurement opportunity, as the behavioral health claims represent actual service delivery records rather than competitive solicitation materials.
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Text version
april_2024.csv
| DOS | PATIENT | LOCATION | CPT | UNIT | CHG | PAID | ADJ | BAL | RESP |
| 4/3/2024 | ADRIAN ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | ADRIAN ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | ADRIAN ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | ADRIAN ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | ADRIAN ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | ADRIAN ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/15/2024 | ADRIAN ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/7/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/14/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/21/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/28/2024 | ALBERT GISHIE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/1/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/8/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/15/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/22/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/29/2024 | AMANDA REEDE ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | BLESSING TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/1/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/8/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/15/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/22/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/29/2024 | EDDIE CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | ELAYNA JUAN | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | ELAYNA JUAN | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | ELAYNA JUAN | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | ELAYNA JUAN | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | ELAYNA JUAN | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | ELAYNA JUAN | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | ELAYNA JUAN | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | ELAYNA JUAN | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | ESTELLE JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | ESTELLE JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | ESTELLE JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | ESTELLE JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | ESTELLE JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | ESTELLE JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | ESTELLE JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | ESTELLE JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/2/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/9/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/16/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/23/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/30/2024 | EVALYNA CELAYA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/1/2024 | FELIPA ENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | FELIPA ENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/8/2024 | FELIPA ENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | FELIPA ENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/15/2024 | FELIPA ENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | FELIPA ENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/22/2024 | FELIPA ENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | FELIPA ENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/29/2024 | FELIPA ENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | HARMONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/30/2024 | JAKE TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | JOHANNA CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | JUAN MATUS JR JR JR | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/2/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/9/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/16/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/23/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/29/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/30/2024 | JULLIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/2/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/9/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/16/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/23/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/29/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/30/2024 | JUNESSA CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/2/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/9/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/16/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/23/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/29/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/30/2024 | JUSARIUS CAPONE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | KELVIN TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | KENNETH JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | KENNETH JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | KENNETH JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | KENNETH JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | KENNETH JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | KENNETH JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/15/2024 | KENNETH JOSE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/1/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/8/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/15/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/22/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/29/2024 | KIONNA CORELLAENCINAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/1/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/8/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/15/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/22/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/29/2024 | KOA ESTRELLA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | KODY TERRAZAS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | MAKENZIE TERRAZAS BURNETTE | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | MELODIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | NAYELI MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | OMAR MATUS | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | PHILLIP ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | PHILLIP ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | PHILLIP ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | PHILLIP ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | PHILLIP ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | PHILLIP ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/15/2024 | PHILLIP ROCHA | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | RHYTHM ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | ROSEMARIE CHIAGO | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | ROSEMARIE CHIAGO | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | ROSEMARIE CHIAGO | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | ROSEMARIE CHIAGO | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | ROSEMARIE CHIAGO | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | ROSEMARIE CHIAGO | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | ROSEMARIE CHIAGO | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | ROSEMARIE CHIAGO | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | SYMPHONIE CHIAGO | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | TENOR ANTONE | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | TINA YOUNG | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/7/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/14/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/21/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/28/2024 | TINO TSEDAH | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/7/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/14/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/21/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/28/2024 | TOMASINA BEGAY | AZBEHAVIORAL HEALTH | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/3/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/4/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/5/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/6/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/10/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/11/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/12/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/13/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/17/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/18/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/19/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/20/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/24/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/25/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/26/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
| 4/27/2024 | YILLENA GONZALES | AZ BEHAVIORAL | H2016 | 1 | 322.08 | 0 | 0 | 322.08 | AZ MEDICAID |
File details come from the government source that posted it. Updated .