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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. States
  3. California
  4. Fraud Risk

Medicare Fraud Risk in California

78 flagged providers identified through statistical analysis of billing anomalies.

Share:

Flagged Providers

78

Average Risk Score

72/100

State Markup Ratio

3.7x

National avg: 3.8x

Total Medicare Payments

$93.2B

🔥 Fraud Hotspots in California

Cities with the most flagged providers based on billing anomaly analysis.

Los Angeles9 flagged providers
Fresno6 flagged providers
Beverly Hills4 flagged providers
San Diego3 flagged providers
Sacramento3 flagged providers
San Jose3 flagged providers
San Luis Obispo2 flagged providers
Newport Beach2 flagged providers
Santa Cruz2 flagged providers
Livermore2 flagged providers

Flagged Providers in California

ProviderSpecialtyCityRisk ScoreTotal PaymentsMarkup
Merry TaheriNurse PractitionerTorrance96$12.1M25.4x
Som KohanzadehPlastic and Reconstructive SurgeryBeverly Hills92$14.7M59.1x
Unilab CorporationClinical LaboratoryWest Hills89$94.0M9.1x
Cardionet, Llc.Independent Diagnostic Testing Facility (IDTF)Pleasanton88$112.2M23.7x
Laboratory Corporation Of AmericaClinical LaboratorySan Diego86$59.8M8.7x
Unilab CorporationClinical LaboratorySacramento85$47.1M9.2x
Youram NassirHematologyLos Angeles84$2.7M97.2x
Reach Air Medical Services LlcAmbulance Service ProviderBrawley80$19.3M21.5x
Edwin ChoiFamily PracticeLos Angeles80$1.8M58.5x
Brian DicarloMedical OncologySan Luis Obispo79$4.7M43.2x
Edwin YauFamily PracticeMonterey Park79$2.2M98.8x
Keeran KumarAnesthesiologyEncinitas79$517.2K103.2x
Matthew ClarkObstetrics & GynecologyNewport Beach79$329.6K143.3x
Michael TaheryObstetrics & GynecologyLos Angeles77$2.2M7.3x
Howard MangoAudiologistNewport Beach77$1.0M13.3x
Eurofins Ascend Clinical, LlcClinical LaboratorySunnyvale76$5.6M9.8x
Irhythm Technologies, Inc.Independent Diagnostic Testing Facility (IDTF)San Francisco75$94.0M7.7x
American Medical Response Ambulance Service, Inc.Ambulance Service ProviderSan Diego75$9.6M10.5x
Kevin DoGeneral PracticeTustin75$1.4M10.7x
Gilbert DominguezGeneral PracticeLa Jolla75$599.2K35.0x
Biological Laboratory, Inc.Clinical LaboratorySan Dimas74$19.4M5.0x
Amy McmullenMedical OncologySanta Cruz74$3.5M33.9x
Samuel SlomowitzHematology-OncologyLos Angeles74$3.4M37.7x
Cristiano BonetiPlastic and Reconstructive SurgeryBeverly Hills74$494.7K33.2x
North Star Emergency Services, Inc.Ambulance Service ProviderLivermore73$6.7M11.5x
Harry HartOral Surgery (Dentist only)Desert Hot Springs73$2.6M3.4x
Hoang NguyenInternal MedicineFountain Valley73$1.5M33.7x
Vincent BennettEmergency MedicineLos Angeles73$1.2M196.1x
Pejman ShirazyPhysical Medicine and RehabilitationEncino72$1.9M47.1x
Min WuFamily PracticeTurlock72$1.1M25.0x
Joseph SilversteinPhysician AssistantInglewood72$949.0K17.4x
Johnson LeePlastic and Reconstructive SurgeryBeverly Hills71$22.5M3.5x
Jack AzadGeneral PracticeLos Angeles71$17.2M3.2x
Philana McdonaldNurse PractitionerAtascadero71$6.9M1.0x
Mayra FloresNurse PractitionerSanta Cruz71$6.0M1.0x
Quest Diagnostics Nichols InstituteClinical LaboratorySan Juan Capistrano71$5.6M9.0x
Ms Diagnostic Laboratory LlcClinical LaboratoryAnaheim71$5.1M6.7x
Mehrdad PakdamanFamily PracticeLos Angeles71$1.3M218.9x
Richard ParkInternal MedicineGranada Hills70$31.7M2.7x
Daniel GreenwaldMedical OncologySanta Barbara70$3.5M23.1x
Leonard HackettHematologyFresno70$3.3M9.5x
Jasmine AghajaniOral Surgery (Dentist only)Beverly Hills70$2.0M3.1x
Mike RostamiGeneral PracticeLos Angeles70$473.2K27.0x
Juan BautistaGeneral PracticeFresno70$353.7K31.1x
Falck Northern California Corp.Ambulance Service ProviderHayward69$11.3M8.0x
Premier Medical Transport, Inc.Ambulance Service ProviderBrea69$8.6M6.5x
Advanced Bionics, Llc.PharmacyValencia69$6.9M3.1x
Ravi RaoHematology-OncologyFresno69$6.6M10.8x
Sutter Valley Medical FoundationClinical LaboratorySacramento69$4.4M6.3x
Brian TysonFamily PracticeEl Centro69$709.7K38.5x

Showing top 50 of 78 flagged providers.

Compared to Neighboring States

StateFlagged ProvidersMarkup Ratio
California (this state)783.7x
Arizona123.5x
Nevada94.3x
Oregon14.0x

⚠️ Disclaimer: Being flagged does not imply fraud. These providers were identified through statistical analysis of billing patterns that deviate significantly from peers. Unusual billing may have legitimate explanations. This data is provided for transparency and public accountability purposes only.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • OpenMedicare Statistical Anomaly Detection

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.