CLINICA LATINA HEALTHCARE GROUP LLC

NPI 1356447387, organization, Phoenix, AZ, Obstetrics & Gynecology

Evidence tier

documented action, then payment

Listed on the Medicare revocation list since October 6, 2021.
Medicaid still paid claims in 8 later months, $68,710 in total.

score 95 of 100, rank 164, $69K at stake

Public list actions

Medicare revocation effective October 6, 2021, barred from re-enrolling until October 6, 2031

424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Clinic/Group Practice, AZ

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies	Exact NPI, name verified	Oct 6, 2021	Oct 6, 2031	8	Nov 2021	Jun 2022	$69K	$12K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	CLINICA LATINA HEALTHCARE GROUP LLC
Type	Organization
Status	Active
NPI issued	September 16, 2006, last updated February 20, 2008
Practice location	1108 W INDIAN SCHOOL RD, SUITE A, Phoenix, AZ 85013-3107, 602-415-1900
Authorized official	Ronald Yunis (President)
Specialties	Obstetrics & Gynecology (207V00000X, primary, license 25201 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$41K	29%	$39	$44 (top 5% from $110)	too few months to rank
J7298	Medicaid service code	$30K	21%	$1K	$787 (top 5% from $1K)	too few months to rank
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$24K	17%	$151	$128 (top 5% from $249)	too few months to rank
76815	Limited ultrasound of pregnant uterus	$10K	7%	$67	$32 (top 5% from $105)	too few months to rank
59409	Medicaid service code	$10K	7%	$843	$637 (top 5% from $1K)	too few months to rank
76816	Follow-up ultrasound scan of pregnant uterus	$7K	5%	$80	$69 (top 5% from $135)	too few months to rank
58300	Medicaid service code	$3K	2%	$102	$111 (top 5% from $262)	too few months to rank
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	$3K	2%	$38	$7.63 (top 5% from $37)	too few months to rank

In this area

229 providers in Maricopa County, AZ carry an indicator in the public record, with $356.4M at stake between them. The most common is more hours than a day holds, on 146 of them, followed by part of a provider network on 66. 9 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	KIUP KIM Phoenix, AZ, ranked 50	$2.0M	Listed on the CA Medicaid exclusion list since December 10, 2018. Medicaid still paid claims in 52 later months, $2,046,769 in total.
1	FRANCIS LUCIANO Mesa, AZ, ranked 149	$100K	Listed on the CA Medicaid exclusion list and the Medicare revocation list since January 5, 2024. Medicaid still paid claims in 10 later months, $99,595 in total.
1	DESERT VIEW MEDICAL CENTER AND PEDIATRICS, CORP Phoenix, AZ, ranked 180	$55K	Listed on the Medicare revocation list since October 26, 2022. Medicaid still paid claims in 5 later months, $55,467 in total.
1	DESERT VIEW FAMILY CLINIC CORP. Phoenix, AZ, ranked 196	$46K	Listed on the Medicare revocation list since October 26, 2022. Medicaid still paid claims in 4 later months, $46,031 in total.
1	MONEIL PATEL Scottsdale, AZ, ranked 413	$508	Listed on the CA Medicaid exclusion list since January 23, 2020. Medicaid still paid claims in 1 later month, $508 in total.
1	HARMONY FAMILY SERVICES II Mesa, AZ, ranked 464	$0	Adjudicated (sentenced) per a Department of Justice release dated August 23, 2024. No Medicaid payments in the last 12 observed months.
1	HARMONY FAMILY SERVICES LLC Mesa, AZ, ranked 532	$0	Adjudicated (sentenced) per a Department of Justice release dated August 23, 2024. No Medicaid payments in the last 12 observed months.
1	1 FAMILY CLINIC LLC Tempe, AZ, ranked 556	$0	Adjudicated (convicted, sentenced) per a Department of Justice release dated February 27, 2026. No Medicaid payments in the last 12 observed months.

All 229 in AZ

Recent enforcement in AZ

All releases

Department 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.

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