What happened
Between July 1 and December 31, 2025, Dr. Irfan Fazil used three business entities — Bio Family Clinic, Inc., Yuma Mobile X-Ray and Yuma Kidney & Dialysis — to bill Arizona's Medicaid program (AHCCCS) for tens of thousands of radiology services: X-rays, ECGs, CT scans, ultrasounds and other treatments. The entities collected $36.5 million in that six-month window, against $4.7 million over the preceding 2.5 years — a 671% increase in paid claims, according to Arizona Attorney General Kris Mayes.
The billing was impossible on its face. Investigators focused on the 27 patients with the highest billing volumes; one patient's account was billed for more than 1,700 X-rays in six months — a volume Mayes called physically impossible and one that would itself have caused serious harm from radiation exposure — plus hundreds of other radiology services. Fazil also wrote multiple prescriptions for controlled drugs such as clonazepam for his wife while she was outside the United States, then picked them up from the pharmacy himself.
A state grand jury indicted him on six felony counts on June 8, 2026 as part of what the Attorney General's Office called a major Medicaid fraud crackdown. On September 4, 2026 he pleaded guilty to fraudulent schemes and artifices, illegal control of an enterprise, theft and illegal procurement of a dangerous drug, and on October 2, 2026 a Yuma County Superior Court judge sentenced him to 7.5 years in prison.
What it cost
7.5 years in prison plus 7 years probation, $36,542,901.45 restitution, all assets forfeited — real estate, clinics, aircraft, gold — license and DEA registration gone
Why it happened
Billed for services that could not possibly have been performed: one account carried more than 1,700 X-rays in six months, a physically impossible volume, per the attorney general.
Scaled the fraud too fast to hide: $36.5 million collected in six months was a 671% jump over the $4.7 million the same operation had drawn in the prior 2.5 years.
Treated the program, in Mayes' words, 'as his personal bank account' — the spree ran only six months before a state grand jury indicted him.
The lesson
Utilization data is a fraud tripwire: a 671% jump in paid claims and 1,700 X-rays on one patient in six months are visible in routine claims analytics long before a grand jury ever is.
Aftermath
Sentenced on October 2, 2026 to 7.5 years in prison plus seven years of probation. Under the plea deal he forfeits all assets — real estate, medical facilities, vehicles, aircraft, jewelry, cash, cryptocurrency and gold bars — surrenders his medical license and DEA registration, and pays $36,542,901.45 in restitution to AHCCCS. Bio Family Clinic has closed; KAWC reported former employees were still waiting to be paid for their final weeks. Investigated by the Arizona Attorney General's Special Investigations Section with the DEA, FAA, Yuma police and the AHCCCS and HHS inspectors general.
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