Providers
All 27 in MO
MOHD AZFAR MALIK, M.D.
NPI 1942208715, individual, Saint Louis, MO, Psychiatry & Neurology, Psychiatry
1
Evidence tier
adjudicated in a public enforcement record
- Adjudicated (pleaded guilty, indicted, sentenced) per a Department of Justice release dated January 10, 2024.
- Medicaid paid $16,153 in the last 12 observed months.
- Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
- 66% of Medicaid dollars are on codes with a history of abuse.
score 96 of 100, rank 53, $16K at stake
Public list actions
Medicare revocation effective April 23, 2025, barred from re-enrolling until April 23, 2035
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies, Practitioner - Psychiatry, MO
Medicare revocation effective April 23, 2025, barred from re-enrolling until April 23, 2035
424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies, Practitioner - Psychiatry, IA
OIG exclusion January 20, 2026 under section 1128a1
Physician (MD, DO), Surgery, Chesterfield, MO
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.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| doj charged enforcement record (indicted): st. louis area doctors accused of illegally administering ketamine, health care fraud | No NPI on the list; matched by name at high confidence | Jan 10, 2024 | still open | 7 | Feb 2024 | Nov 2024 | $6K | $507K |
| doj admin enforcement record (civil settlement): marketers and physicians in five states agree to pay over $1.5 million to settle laboratory kickback allegations | No NPI on the list; matched by name at high confidence | Apr 1, 2024 | still open | 5 | May 2024 | Nov 2024 | $5K | $426K |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2018 | More hours than a day holds at a conservative unit price | 6.1 | 44.9 | 29.9 | 42.7 | 108 | 1 | 90832 90853 | $113K |
| Aug 2018 | More hours than a day holds at a conservative unit price | 5.7 | 40.7 | 27.1 | 36.5 | 118 | 1 | 90832 90833 90853 99213 99214 99232 | $106K |
| Sep 2018 | More hours than a day holds at a conservative unit price | 5.4 | 50.9 | 33.9 | 50.9 | 118 | 1 | 90832 90833 90853 99214 | $128K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MOHD AZFAR MALIK, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | July 14, 2005, last updated September 13, 2012 |
| Practice location | 763 S NEW BALLAS RD, SUITE 110, Saint Louis, MO 63141-8704, 314-569-1717 |
| Mailing address | 5000 CEDAR PLAZA PKWY, SUITE 350, Saint Louis, MO 63128-3854 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license R2D07 MO) |
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 | |
|---|---|---|---|---|---|---|---|
| 90853 | Group psychotherapyhistory of abuse | $1.5M | 66% | $287 | $60 (top 5% from $332) | 94th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $195K | 9% | $134 | $96 (top 5% from $249) | 72nd percentile | |
| H0035 | Mental health partial hospitalization less than 24 hours | $186K | 8% | $2K | $1K (top 5% from $3K) | too few months to rank | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $73K | 3% | $72 | $67 (top 5% from $174) | 55th percentile | |
| S9480 | Intensive outpatient psychiatric services per diem | $67K | 3% | $327 | $946 (top 5% from $4K) | 9th percentile | |
| 90870 | Therapy using electrical currents | $44K | 2% | $187 | $153 (top 5% from $1K) | 58th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $42K | 2% | $156 | $81 (top 5% from $170) | 93rd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $37K | 2% | $34 | $44 (top 5% from $110) | 34th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 133 | 81 | $10K | $155 | $103 | 1.5x | 2.2x (90th percentile 4.0x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 108 | 52 | $9K | $155 | $107 | 1.5x | 2.3x (90th percentile 3.8x) |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 89 | 69 | $4K | $140 | $73 | 1.9x | 2.1x (90th percentile 3.7x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 51 | 29 | $3K | $140 | $71 | 2.0x | 2.2x (90th percentile 3.8x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 36 | 22 | $2K | $95 | $62 | 1.5x | 2.1x (90th percentile 3.5x) |
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
27 providers in St. Louis County, MO carry an indicator in the public record, with $9.7M at stake between them. The most common is named in an enforcement record, on 18 of them, followed by part of a provider network on 5. 14 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ABOVE & BEYOND HEALTH LLC Saint Louis, MO, ranked 45 | $3.5M |
|
| 1 | PROVISION HOME CARE INC. Saint Louis, MO, ranked 56 | $1.4M |
|
| 1 | HEALING HANDS HOMECARE AND COUNSELING SERVICES LLC Saint Louis, MO, ranked 90 | $391K |
|
| 1 | PROVISION HOME CARE INC. Saint Louis, MO, ranked 138 | $122K |
|
| 1 | SONNY SAGGAR Chesterfield, MO, ranked 251 | $18K |
|
| 1 | STANLEY LIBRACH Chesterfield, MO, ranked 504 | $0 |
|
| 1 | ADVANCED GERIATRIC MANAGEMENT LLC Bridgeton, MO, ranked 566 | $0 |
|
| 1 | CRAIG SPIEGEL Bridgeton, MO, ranked 591 | $0 |
|
Recent enforcement in MO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 27, 2026
Kansas Chiropractor Pleads Guilty to Health Care Fraud
Laser submitted claims to Blue Cross and Blue Shield of Kansas City seeking payment for chiropractic services purportedly rendered on dates when patients had not visited Laser Chiropractic and received no treatment, including billing using the information of an individual who never received treatment.
DOJIndictedJul 30, 2026
Adult Day Care Provider Accused of $1.47 Million Missouri Medicaid Fraud
King submitted $1.47 million in false claims to Missouri Medicaid through Agape Love Adult Day Care LLC for services never provided, claiming 10 hours of care per day when only half that was provided and billing for patients who were absent or hospitalized.
DOJSentencedJul 21, 2026
Home Health Care Operator Sentenced for Defrauding Missouri Medicaid
Childress submitted fraudulent enrollment documents concealing her ownership of a home health care company and then billed Missouri Medicaid for home health services that were never provided.
DOJComplaint filedJun 23, 2026
Federal Health Care Fraud Takedown Targets 455 Defendants and $6.5 Billion in False Claims
Four defendants were charged by complaint in the Western District of Missouri with forgery and using fraudulent nursing credentials or with false statements to receive health care payments and stealing by deceit for Medicaid claims for personal care services that were not provided.
DOJIndictedJun 3, 2026
U.S. Attorney’s Office Seeks Potential Victims in Case Against Columbia, Missouri Doctor
A federal grand jury charged Morris with issuing controlled substance prescriptions outside the usual course of professional practice and with defrauding Medicare and Missouri Medicaid by billing for services falsely representing him as the rendering provider when services were rendered by assistant physicians and by submitting claims for prescriptions not eligible for reimbursement.
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.