Providers
VERONICA VELASQUEZ-MORFIN, M.D.
NPI 1053495424, individual, Placerville, CA, Family Medicine
5
Evidence tier
informational
score 30 of 100, rank 11501, $170K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VERONICA VELASQUEZ-MORFIN, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | October 24, 2006, last updated September 12, 2008 |
| Practice location | 4327 GOLDEN CENTER DR, Placerville, CA 95667-6260, 530-621-7700 |
| Mailing address | 204 CRADLE MOUNTAIN CT, EL Dorado Hills, CA 95762-6615 |
| Specialties | Family Medicine (207Q00000X, primary, license A82869 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 | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $8.2M | 92% | $200 | $182 (top 5% from $488) | 58th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $529K | 6% | $31 | $44 (top 5% from $110) | 29th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $106K | 1% | $42 | $60 (top 5% from $133) | 27th percentile | |
| 99394 | Medicaid service code | $29K | 0% | $54 | $83 (top 5% from $128) | 27th percentile | |
| 80305 | Testing for presence of drug, read by direct observation | $18K | 0% | $14 | $9.23 (top 5% from $22) | 81st percentile | |
| 99393 | Medicaid service code | $17K | 0% | $47 | $78 (top 5% from $121) | 23rd percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $9K | 0% | $107 | $112 (top 5% from $313) | too few months to rank | |
| 99396 | Medicaid service code | $7K | 0% | $86 | $70 (top 5% from $132) | 63rd percentile |
In this area
6 providers in El Dorado County, CA carry an indicator in the public record, with $3.0M at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | MARSHALL MEDICAL CENTER Diamond Springs, CA, ranked 1381 | $76K |
|
| 3 | SNOWLINE HOSPICE OF EL DORADO COUNTY Diamond Springs, CA, ranked 1384 | $75K |
|
| 3 | GEM HOME HEALTHCARE, INC. Placerville, CA, ranked 3175 | $0 |
|
| 3 | SACRAMENTO RIVER HEALTHCARE LLC EL Dorado Hills, CA, ranked 7090 | $0 |
|
| 4 | WAYNE DANIEL Placerville, CA, ranked 7648 | $2.3M |
|
| 5 | CATHERINE MOIZEAU Placerville, CA, ranked 11178 | $560K |
Recent enforcement in CA
All releasesDepartment 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
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.