JANARDHAN RAO GRANDHE, M.D.

NPI 1023058476, individual, Bakersfield, CA, Anesthesiology, Pain Medicine

Evidence tier

documented action, then payment

Listed on the CA Medicaid exclusion list and the Medicare revocation list since October 14, 2022.
Medicaid still paid claims in 8 later months, $173,578 in total.

score 95 of 100, rank 117, $174K at stake

Public list actions

Medicare revocation effective October 14, 2022, barred from re-enrolling until October 14, 2032

424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Anesthesiology, CA

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
Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies	Exact NPI, name verified	Oct 14, 2022	Oct 14, 2032	8	Nov 2022	Jun 2023	$174K	$550K
CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026)	Exact NPI, name verified	Oct 14, 2022	still open	8	Nov 2022	Jun 2023	$174K	$550K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	JANARDHAN RAO GRANDHE, M.D.
Type	Individual, sole proprietor
Status	Active
NPI issued	June 7, 2006, last updated November 2, 2009
Practice location	5339 TRUXTUN AVE, Bakersfield, CA 93309-0641, 661-327-9300
Mailing address	2012 NORWICH WAY, Bakersfield, CA 93311-2910
Specialties	Anesthesiology, Pain Medicine (207LP2900X, primary, license A52798 CA)

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
A4595	Medicaid service code	$713K	35%	$20	$20 (top 5% from $62)	52nd percentile
27096	Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	$417K	20%	$176	$122 (top 5% from $510)	68th percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$165K	8%	$22	$44 (top 5% from $110)	18th percentile
64483	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$113K	5%	$111	$150 (top 5% from $603)	32nd percentile
64484	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	$73K	4%	$76	$59 (top 5% from $193)	67th percentile
E0730	Medicaid service code	$64K	3%	$52	$66 (top 5% from $236)	41st percentile
20552	Injection of trigger points, 1-2 muscles	$60K	3%	$16	$28 (top 5% from $150)	21st percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$54K	3%	$30	$60 (top 5% from $133)	15th percentile

In this area

150 providers in Kern County, CA carry an indicator in the public record, with $131.4M at stake between them. The most common is more hours than a day holds, on 132 of them, followed by part of a provider network on 17. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	JANARDHAN GRANDHE MD A MEDICAL CORPORATION Bakersfield, CA, ranked 101	$269K	Listed on the Medicare revocation list since October 14, 2022. Medicaid still paid claims in 17 later months, $268,801 in total.
2	JANELE SHAFER Bakersfield, CA, ranked 737	$488K	Billed more hands-on hours than a day holds in 5 months, peaking at 36.0 hours per day across 6 billing organizations.
2	SAMANTHA ESSENBERG Bakersfield, CA, ranked 741	$386K	Billed more hands-on hours than a day holds in 2 months, peaking at 44.1 hour per day across 4 billing organizations.
2	NAVNEET KAUR Bakersfield, CA, ranked 743	$325K	Billed more hands-on hours than a day holds in 3 months, peaking at 29.4 hours per day across 3 billing organizations.
2	RIPON DEEP KAUR Bakersfield, CA, ranked 747	$235K	Billed more hands-on hours than a day holds in 1 month, peaking at 26.8 hours per day across 3 billing organizations.
3	D A HEALTH CARE SERVICES Bakersfield, CA, ranked 807	$243K	Part of provider network D1-00023, ranked 23 nationally. Medicaid dollars per patient on code G0151 ($703 per patient-month) sit in the top 5% of every provider billing that code.
3	KERN HOSPICE CARE, INC Bakersfield, CA, ranked 1021	$1.3M	Part of provider network D1-00019, ranked 19 nationally.
3	WESTERN HEALTH RESOURCES Bakersfield, CA, ranked 1147	$502K	Part of provider network D1-00071, ranked 71 nationally.

All 150 in CA

Recent enforcement in CA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyAug 27, 2026

Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare

Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit

Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit

Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.

Referral packet

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