Providers

OLIVIA E WILSON, FNP-C

NPI 1558585836, individual, Yuma, AZ, Registered Nurse

5
Evidence tier
informational
  • Medicaid dollars per patient on code 99214 ($137 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10101, $1.1M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameOLIVIA E WILSON, FNP-C
TypeIndividual, sole proprietor
StatusActive
NPI issuedApril 11, 2007, last updated August 30, 2019
Practice location1203 S ARENA DR, Yuma, AZ 85364-4425, 928-271-1989
Specialties
Registered Nurse (163W00000X, primary, license RN095235 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$1.1M54%$137$60 (top 5% from $133)96th percentile
H2010Comprehensive medication services per 15 min$711K36%$226$230 (top 5% from $884)49th percentile
H0020Medicaid service code$101K5%$37$214 (top 5% from $529)16th percentile
J0574Medicaid service code$67K3%$719$47 (top 5% from $632)97th percentile
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$21K1%$138$95 (top 5% from $171)84th percentile
80307Testing for presence of drug, by chemistry analyzers$16K1%$72$45 (top 5% from $110)too few months to rank
J0572Medicaid service code$10K0%$182$43 (top 5% from $282)too few months to rank

In this area

6 providers in Yuma County, AZ carry an indicator in the public record, with $13.0M at stake between them. The most common is more hours than a day holds, on 6 of them.

tierproviderat stakewhy
4ENGIDA ALEMU
Yuma, AZ, ranked 7987
$331K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4MALLAPPA NEELAPPA
Yuma, AZ, ranked 8585
$2.8M
  • Hours beyond a day in 1 month, but with up to 1397 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4CARL MALMQUIST
Yuma, AZ, ranked 8806
$1.6M
  • Hours beyond a day in 1 month, but with up to 1503 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4REBECCA DOWNS
Yuma, AZ, ranked 8987
$993K
  • Hours beyond a day in 11 months, but with up to 788 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5SERGIO MACIAS
San Luis, AZ, ranked 10692
$5.0M
5MARIA MACIAS
San Luis, AZ, ranked 10793
$2.2M

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

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