OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Providers
  3. Shane Manalang
⚕️
PHYSICIANIndividual

Shane Manalang, PHYSICIAN ASSISTANT

NPI: 1558648550
Lynwood, CA
10 years of data
Physician Assistant
$6.4M
Total Payments
25.7K
Beneficiaries
102.8K
Services
2.75x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$6.4M
Specialty median$22.5K

📋 Key Findings

1Billed $6.4M over 10 years
22.75x markup ratio (above median)
399th percentile in Physician Assistant by payments
4Payments surged 106% in 2016
59 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $6.4M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.

Medicare payments to this provider grew 1718% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 106% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$725.00$183.973.94x$541.03$109.0K56192
2015$317.02$95.983.30x$221.04$103.6K956556
2016$237.44$77.193.08x$160.25$213.5K4.1K1.5K
2017$179.18$48.663.68x$130.52$317.5K6.4K1.6K
2018$195.83$57.143.43x$138.69$350.2K7.3K1.5K
2019$204.12$57.203.57x$146.92$549.6K11.2K2.1K
2020$179.24$83.322.15x$95.92$476.0K6.4K2.0K
2021$180.80$79.492.27x$101.31$973.1K14.9K4.1K
2022$169.97$74.542.28x$95.43$1.4M21.2K4.9K
2023$210.49$77.092.73x$133.40$2.0M29.8K7.5K

Top Procedures (20)

99308Subsequent nursing facility visit, typically 15 minutes per day⚠ 3.3x markup
$2.8M
56.3K services$49.98/svc3.31x markup
99309Subsequent nursing facility visit, typically 25 minutes per day
$1.6M
22.9K services$70.13/svc2.02x markup
99310Subsequent nursing facility visit, typically 35 minutes per day
$559.6K
5.5K services$101.19/svc1.62x markup
99305Initial nursing facility visit, typically 35 minutes per day⚠ 3.0x markup
$544.2K
5.8K services$93.17/svc3.04x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day⚠ 3.2x markup
$258.2K
5.0K services$52.15/svc3.23x markup
90960Dialysis services (4 or more physician visits per month), patient 20 years of age and older⚠ 3.9x markup
$161.9K
819 services$197.65/svc3.90x markup
99306Initial nursing facility visit, typically 45 minutes per day
$142.6K
1.2K services$123.50/svc2.02x markup
99335Established patient assisted living visit, typically 25 minutes
$59.4K
866 services$68.65/svc1.90x markup
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
$58.8K
1.1K services$54.35/svc2.30x markup
99334Established patient assisted living visit, typically 15 minutes
$56.2K
1.4K services$40.93/svc2.44x markup
99336Established patient assisted living visit, typically 40 minutes
$44.8K
456 services$98.28/svc1.48x markup
90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older⚠ 3.3x markup
$24.2K
143 services$168.98/svc3.34x markup
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
$20.7K
227 services$91.00/svc1.65x markup
99238Hospital discharge day management, 30 minutes or less⚠ 3.9x markup
$18.3K
346 services$52.92/svc3.93x markup
99222Initial hospital inpatient care, typically 50 minutes per day
$15.5K
155 services$99.86/svc2.54x markup
99212Established patient outpatient visit, total time 10-19 minutes⚠ 3.8x markup
$11.3K
318 services$35.46/svc3.78x markup
90792Psychiatric diagnostic evaluation with medical services⚠ 3.8x markup
$10.9K
93 services$117.06/svc3.84x markup
99214Established patient office or other outpatient visit, 30-39 minutes
$7.9K
90 services$87.99/svc1.70x markup
99326New patient assisted living visit, typically 45 minutes
$4.4K
43 services$102.03/svc2.45x markup
99307Subsequent nursing facility visit, typically 10 minutes per day⚠ 4.7x markup
$2.7K
83 services$31.94/svc4.70x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99308Subsequent nursing facility visit, typically 15 minutes per day56.3K$2.8M$49.983.31x
99309Subsequent nursing facility visit, typically 25 minutes per day22.9K$1.6M$70.132.02x
99310Subsequent nursing facility visit, typically 35 minutes per day5.5K$559.6K$101.191.62x
99305Initial nursing facility visit, typically 35 minutes per day5.8K$544.2K$93.173.04x
99232Subsequent hospital inpatient care, typically 25 minutes per day5.0K$258.2K$52.153.23x
90960Dialysis services (4 or more physician visits per month), patient 20 years of age and older819$161.9K$197.653.90x
99306Initial nursing facility visit, typically 45 minutes per day1.2K$142.6K$123.502.02x
99335Established patient assisted living visit, typically 25 minutes866$59.4K$68.651.90x
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1.1K$58.8K$54.352.30x
99334Established patient assisted living visit, typically 15 minutes1.4K$56.2K$40.932.44x
99336Established patient assisted living visit, typically 40 minutes456$44.8K$98.281.48x
90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older143$24.2K$168.983.34x
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes227$20.7K$91.001.65x
99238Hospital discharge day management, 30 minutes or less346$18.3K$52.923.93x
99222Initial hospital inpatient care, typically 50 minutes per day155$15.5K$99.862.54x
99212Established patient outpatient visit, total time 10-19 minutes318$11.3K$35.463.78x
90792Psychiatric diagnostic evaluation with medical services93$10.9K$117.063.84x
99214Established patient office or other outpatient visit, 30-39 minutes90$7.9K$87.991.70x
99326New patient assisted living visit, typically 45 minutes43$4.4K$102.032.45x
99307Subsequent nursing facility visit, typically 10 minutes per day83$2.7K$31.944.70x

Markup Analysis

Charge-to-Payment Ratio

2.75x

This provider submits charges 2.75 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.75x means for every $100 Medicare pays, this provider initially charges $275. This is higher than the national average.

Location

Lynwood, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Related

Browse
← Back to Provider Directory
State
All providers in CA →
Specialty
All Physician Assistant providers →
Tool
Compare this provider →
Analysis
Fraud Watchlist →
Search
Search all providers →

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data