Providers
MATTHEW DUKE, AGACNP-BC
NPI 1235742644, individual, Show Low, AZ, Nurse Practitioner, Acute Care
5
Evidence tier
informational
score 31 of 100, rank 11345, $325K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MATTHEW DUKE, AGACNP-BC |
| Type | Individual |
| Status | Active |
| NPI issued | August 25, 2020, last updated August 25, 2020 |
| Practice location | 1500 E WOOLFORD RD STE 101, Show Low, AZ 85901-7105, 928-251-2030 |
| Mailing address | PO BOX 2127, Taylor, AZ 85939-2127 |
| Specialties | Nurse Practitioner, Acute Care (363LA2100X, primary, license 235206 AZ) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H2010 | Comprehensive medication services per 15 min | $982K | 58% | $191 | $230 (top 5% from $884) | 45th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $487K | 29% | $98 | $60 (top 5% from $133) | 84th percentile | |
| H0020 | Medicaid service code | $197K | 12% | $39 | $214 (top 5% from $529) | 17th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $19K | 1% | $59 | $44 (top 5% from $110) | 70th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $5K | 0% | $134 | $112 (top 5% from $313) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $4K | 0% | $94 | $105 (top 5% from $228) | too few months to rank | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $1K | 0% | $55 | $45 (top 5% from $110) | too few months to rank | |
| 80305 | Testing for presence of drug, read by direct observation | $207 | 0% | $13 | $9.23 (top 5% from $22) | too few months to rank |
In this area
3 providers in Navajo County, AZ carry an indicator in the public record, with $48K at stake between them. The most common is part of a provider network, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | WINSLOW CONVALESCENT CENTER INC Winslow, AZ, ranked 1427 | $48K |
|
| 3 | ACCORD HOSPICE OF THE WHITE MOUNTAINS, LLC Show Low, AZ, ranked 2910 | $0 |
|
| 3 | MY DAUGHTER'S HOME HEALTH AGENCY LLC Show Low, AZ, ranked 4460 | $0 |
|
Recent enforcement in AZ
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 23, 2026
District of Arizona Announces Charges Involving Over $1.2 Billion in False or Fraudulent Claims as Part of National Health Care Fraud Takedown
Four defendants were charged in connection with alleged schemes involving over $1.2 billion in false or fraudulent claims for amniotic wound allografts procured through kickbacks and for substance abuse treatment services billed to Arizona Medicaid that were not provided as billed.
DOJSentencedJun 4, 2026
New River Couple Sentenced for $12 Million AHCCCS Fraud Scheme
The Currys submitted a fraudulent AHCCCS provider enrollment application concealing Thvoughn Curry's ownership role and then billed AHCCCS through 1 Family Clinic, LLC for behavioral health and substance abuse therapy services that were not provided, receiving more than $12 million.
DOJCivil settlementMar 12, 2026
Arizona Cardiology Group to Pay $4.75M to Resolve Allegations of Unnecessary Vein Ablations
Tri-City Cardiology and three physicians allegedly violated the False Claims Act by performing medically unnecessary ablations on perforator veins and incorrectly measuring or documenting blood flow duration, vein diameter, patient symptoms, and conservative therapy measures to make the procedures appear justified.
DOJConvictedFeb 27, 2026
New River Couple Convicted of $12 Million AHCCCS Fraud Scheme
The Currys submitted a fraudulent AHCCCS provider enrollment application concealing Thvoughn Curry's ownership and then billed AHCCCS for behavioral health services that were not actually provided through 1 Family Clinic, LLC, receiving more than $12 million.
DOJSentencedFeb 27, 2026
Mesa Residents Sentenced to Prison for Fraud Targeting AHCCCS
Riley and Gooch, through their behavioral health clinic New Horizons Behavioral Health, exploited AHCCCS's American Indian Health Program between 2020 and 2022 by falsely billing for services that were not provided, obtaining approximately $3.3 million.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.