Statistical flag only — not an accusation of fraud
Claims NPI was used fraudulently by others to bill COVID tests (WTHR news report). Running for CA State Assembly. No charges filed.
View DOJ source →⚠️ This provider averages 4.1K services per working day — physically unusual for an individual practitioner
Based on 1.0M total services over 1 year (250 working days/year). Learn about impossible service volumes →
4,132 services per day. 127,936 beneficiaries. 100% of billing from one code (K1034 COVID tests). Specialty z-score: 23.06 (23 standard deviations above median). Only active for 1 year in dataset.
Running for California State Assembly District 69. DNP from UCSF. 24+ years in emergency nursing. Campaign describes 'front lines' COVID work. Medicare billing: 100% COVID tests (K1034), $12.1M in single year.
This provider's $12.1M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Averaging 4.1K services per working day raises questions about billing patterns.
100% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
This provider has been statistically flagged with a risk score of 96/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2023 | $12.07 | $11.76 | 1.03x | $0.31 | $12.1M | 1.0M | 127.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1.0M | $12.1M | $11.76 | 1.02x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | $1.6K | $48.62 | 29.33x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 18 | $482.65 | $26.81 | 45.72x |
This provider submits charges 1.03 times higher than what Medicare actually pays.
A markup ratio of 1.03x means for every $100 Medicare pays, this provider initially charges $103. This is lower than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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