Providers

FRANCIS RAHUL LUCIANO, PA

NPI 1689058992, individual, Mesa, AZ, Physician Assistant

1
Evidence tier
documented action, then payment
  • 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.
score 95 of 100, rank 149, $100K at stake

Public list actions

Medicare revocation effective January 5, 2024, barred from re-enrolling until September 24, 2026
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Physician Assistant, CA

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.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
CA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJan 5, 2024still open10Feb 2024Dec 2024$100K$147K
Medicare revocation list
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report
Exact NPI, name verifiedJan 5, 2024Sep 24, 202610Feb 2024Dec 2024$100K$147K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameFRANCIS RAHUL LUCIANO, PA
TypeIndividual
StatusActive
NPI issuedJuly 16, 2015, last updated July 12, 2023
Practice location616 E SOUTHERN AVE STE 103, Mesa, AZ 85204-4941, 602-569-3999
Mailing address1533 E WILLETTA ST, Phoenix, AZ 85006-2935
Specialties
Physician Assistant (363A00000X, license 52483 CA)
Physician Assistant (363A00000X, primary, license 5965 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$387K61%$78$60 (top 5% from $133)69th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$165K26%$58$44 (top 5% from $110)69th percentile
99285Emergency department visit with high level of medical decision making$38K6%$106$100 (top 5% from $264)56th percentile
96372Injection of drug or substance under skin or into muscle$12K2%$13$12 (top 5% from $49)56th percentile
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$5K1%$65$67 (top 5% from $121)too few months to rank
99284Emergency department visit with moderate level of medical decision making$4K1%$74$86 (top 5% from $224)too few months to rank
99396Medicaid service code$3K1%$91$70 (top 5% from $132)too few months to rank
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$3K0%$89$95 (top 5% from $171)too few months to rank
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4419$3K$295$1052.8x2.3x (90th percentile 3.8x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

229 providers in Maricopa County, AZ carry an indicator in the public record, with $356.3M 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.

tierproviderat stakewhy
1KIUP 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.
1CLINICA 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.
1DESERT 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.
1DESERT 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.
1MONEIL 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.
1HARMONY 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.
1HARMONY 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.
11 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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