Providers

LUCY AKPAN

NPI 1568044519, individual, Queen Creek, AZ, Nurse Practitioner, Psych/Mental Health

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 2 months, but with up to 956 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
score 51 of 100, rank 9052, $817K at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Dec 2022More hours than a day holds, even counting one unit per claim line26.128.118.726.4792290792 90836 99203 99213 99214$105K
Jan 2023More hours than a day holds, even counting one unit per claim line25.127.218.125.5956290792 90836 99214$107K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameLUCY AKPAN
TypeIndividual, sole proprietor
StatusActive
NPI issuedApril 28, 2021, last updated April 28, 2021
Practice location18672 E OLD BEAU TRL, Queen Creek, AZ 85142-3521, 515-661-3836
Mailing address4932 W ST ANNE AVE, Laveen, AZ 85339-6285
Specialties
Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license 256699 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
90792Psychiatric diagnostic evaluation with medical services$369K37%$183$112 (top 5% from $313)82nd percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$315K32%$84$60 (top 5% from $133)74th percentile
90836Psychotherapy with evaluation and management visit, 45 minutes$253K26%$132$72 (top 5% from $190)86th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$48K5%$54$44 (top 5% from $110)64th percentile
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse$3K0%$7.59$88 (top 5% from $210)6th percentile
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$9940%$4.06$67 (top 5% from $121)4th percentile
90791Psychiatric diagnostic evaluation$8750%$13$105 (top 5% from $228)too few months to rank
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more$1040%$3.35$28 (top 5% from $147)too few months to rank

In this area

2 providers in Pinal County, AZ carry an indicator in the public record, with $1.6M at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.

tierproviderat stakewhy
3VITAL HC, INC.
Casa Grande, AZ, ranked 5006
$0
  • Part of provider network D1-00023, ranked 23 nationally.
5LEENA TARIN
Queen Creek, AZ, ranked 10873
$1.6M

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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