Providers
MOHAMMAD AFZAL, MD MBA
NPI 1669411161, individual, Clermont, FL, Pediatrics
5
Evidence tier
informational
score 31 of 100, rank 10764, $2.5M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MOHAMMAD AFZAL, MD MBA |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 6, 2006, last updated January 22, 2025 |
| Practice location | 265 CITRUS TOWER BLVD, STE 102, Clermont, FL 34711-1908, 352-394-3929 |
| Specialties | Pediatrics (208000000X, primary, license ME 72542 FL) Pediatrics (208000000X, license 3193271205 UT) |
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 | $2.9M | 46% | $56 | $44 (top 5% from $110) | 67th percentile | |
| 99392 | Medicaid service code | $679K | 11% | $92 | $78 (top 5% from $124) | 71st percentile | |
| 99391 | Medicaid service code | $589K | 9% | $95 | $76 (top 5% from $126) | 77th percentile | |
| 99393 | Medicaid service code | $581K | 9% | $90 | $78 (top 5% from $121) | 70th percentile | |
| 99394 | Medicaid service code | $325K | 5% | $89 | $83 (top 5% from $128) | 60th percentile | |
| 90471 | Administration of vaccine | $277K | 4% | $15 | $10 (top 5% from $23) | 70th percentile | |
| 90472 | Administration of vaccine, each additional vaccine | $137K | 2% | $11 | $14 (top 5% from $40) | 42nd percentile | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | $133K | 2% | $55 | $40 (top 5% from $69) | 87th percentile |
In this area
7 providers in Lake County, FL carry an indicator in the public record, with $5.3M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 2 | TAKITA S. HAYES DBA TAKITA'S HELPING HANDS Tavares, FL, ranked 692 | $3.7M |
|
| 3 | CORNERSTONE HOSPICE & PALLIATIVE CARE INC Tavares, FL, ranked 2667 | $0 |
|
| 3 | CROWN HOME HEALTH CARE INC. Mount Dora, FL, ranked 4779 | $0 |
|
| 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE INC Leesburg, FL, ranked 5617 | $0 |
|
| 5 | LULA FRAZIER Tavares, FL, ranked 10893 | $1.5M | |
| 5 | ADVANCED CLINICAL LABORATORIES, INC. Clermont, FL, ranked 11749 | $50K | |
| 5 | CRISTINA LOPEZ Eustis, FL, ranked 11879 | $19K |
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 14, 2026
Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud
Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.
DOJConvictedAug 12, 2026
Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme
Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.
DOJCivil settlementAug 3, 2026
Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit
Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.
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.