JOSEPH J FRANZETTI, M.D.

NPI 1639246341, individual, Phoenix, AZ, Psychiatry & Neurology, Psychiatry

Evidence tier

impossible volume with concurrency

Billed more hands-on hours than a day holds in 5 months, peaking at 50.7 hours per day across 3 billing organizations.
Medicaid dollars per patient on code H0004 ($4730 per patient-month) sit in the top 5% of every provider billing that code.
64% of Medicaid dollars are on codes with a history of abuse.

score 88 of 100, rank 687, $9.0M 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.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
Oct 2021	More hours than a day holds at a conservative unit price	3.2	187.1	124.7	47.8	201	2	99214 H0004 H2011 H2014 H2017 H2027 T1016	$370K
Jul 2022	More hours than a day holds at a conservative unit price	5.7	128.3	85.5	38.4	198	2	90832 99214 H0004 H2014 H2025 H2027 T1016	$290K
Feb 2023	More hours than a day holds at a conservative unit price	32.8	424.0	282.7	43.0	270	2	99214 H0004 H0038 H2014 H2027 T1016	$920K
Mar 2023	More hours than a day holds at a conservative unit price	41.9	524.0	349.3	54.4	311	2	99214 H0004 H0038 H2014 H2027 T1016	$1.3M
Apr 2023	More hours than a day holds at a conservative unit price	40.2	572.0	381.3	76.0	361	3	99214 H0004 H0038 H2014 H2027 T1016	$1.3M

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	JOSEPH J FRANZETTI, M.D.
Type	Individual, sole proprietor
Status	Active
NPI issued	November 29, 2006, last updated September 11, 2025
Practice location	4414 N 19TH AVE, Phoenix, AZ 85015-4114, 602-285-5550
Mailing address	10105 E PARADISE DR, Scottsdale, AZ 85260-5916
Specialties	Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 26738 AZ) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 26738 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
H2014	Skills training and development per 15 minhistory of abuse	$3.8M	40%	$5K	$298 (top 5% from $3K)	98th percentile
H0004	Behavioral health counseling and therapy per 15 minhistory of abuse	$2.3M	24%	$3K	$174 (top 5% from $559)	100th percentile
H2027	Psychoeducational service per 15 min	$1.3M	13%	$2K	$161 (top 5% from $4K)	86th percentile
H0038	Self-help/peer services per 15 min	$1.0M	11%	$3K	$147 (top 5% from $2K)	98th percentile
T1016	Case management each 15 min	$872K	9%	$1K	$98 (top 5% from $507)	97th percentile
H2016	Comprehensive community support services per diem	$125K	1%	$4K	$3K (top 5% from $13K)	too few months to rank
H0001	Medicaid service code	$44K	0%	$91	$103 (top 5% from $301)	48th percentile
H2017	Psychosocial rehabilitation services per 15 minhistory of abuse	$41K	0%	$381	$310 (top 5% from $1K)	61st percentile

In this area

229 providers in Maricopa County, AZ carry an indicator in the public record, with $347.4M at stake between them. The most common is more hours than a day holds, on 145 of them, followed by part of a provider network on 66. 10 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	CLINICA LATINA HEALTHCARE GROUP LLC Phoenix, AZ, ranked 164	$69K	Listed on the Medicare revocation list since October 6, 2021. Medicaid still paid claims in 8 later months, $68,710 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.

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

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