VICTORIA CHEW
NPI 1124465133, individual, Watsonville, CA, Family Medicine
- Hours beyond a day in 18 months, but with up to 1211 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2019 | More hours than a day holds at a conservative unit price | 10.4 | 51.0 | 34.0 | 45.8 | 1064 | 3 | 99201 99202 99211 99212 99213 99214 99401 99402 | $82K |
| Feb 2019 | More hours than a day holds at a conservative unit price | 10.1 | 48.4 | 32.3 | 45.2 | 919 | 3 | 99201 99202 99211 99212 99213 99214 99401 99402 | $74K |
| Mar 2019 | More hours than a day holds at a conservative unit price | 7.8 | 40.3 | 26.9 | 39.6 | 758 | 3 | 99201 99202 99211 99212 99213 99214 99401 99402 | $66K |
| May 2019 | More hours than a day holds at a conservative unit price | 9.5 | 39.0 | 26.0 | 35.1 | 984 | 3 | 99201 99202 99211 99212 99213 99214 99401 99402 | $65K |
| Jun 2019 | More hours than a day holds at a conservative unit price | 10.4 | 47.8 | 31.9 | 47.8 | 1012 | 3 | 99201 99202 99211 99212 99213 99214 99401 99402 | $75K |
| Jul 2020 | More hours than a day holds at a conservative unit price | 9.2 | 45.6 | 30.4 | 41.0 | 1118 | 4 | 99201 99202 99211 99212 99213 99214 99401 | $64K |
| Aug 2020 | More hours than a day holds at a conservative unit price | 9.1 | 47.1 | 31.4 | 46.3 | 1101 | 3 | 99201 99202 99211 99212 99213 99214 99401 | $64K |
| Sep 2020 | More hours than a day holds at a conservative unit price | 9.8 | 52.5 | 35.0 | 47.7 | 1141 | 3 | 99201 99202 99211 99212 99213 99214 99401 | $70K |
| Oct 2020 | More hours than a day holds at a conservative unit price | 9.7 | 46.0 | 30.7 | 43.2 | 1155 | 3 | 99201 99202 99211 99212 99213 99214 99401 | $69K |
| Nov 2020 | More hours than a day holds at a conservative unit price | 10.2 | 57.2 | 38.1 | 54.5 | 1152 | 3 | 99201 99202 99211 99212 99213 99214 99401 | $74K |
| Dec 2020 | More hours than a day holds at a conservative unit price | 10.2 | 50.8 | 33.9 | 45.7 | 1211 | 3 | 99201 99202 99211 99212 99213 99214 99401 | $72K |
| Jan 2021 | More hours than a day holds at a conservative unit price | 8.9 | 42.9 | 28.6 | 42.3 | 971 | 3 | 99202 99211 99212 99213 99214 99401 | $67K |
| Feb 2021 | More hours than a day holds at a conservative unit price | 9.0 | 40.0 | 26.6 | 37.3 | 867 | 2 | 99202 99211 99212 99213 99214 99401 | $58K |
| Mar 2021 | More hours than a day holds at a conservative unit price | 10.7 | 48.7 | 32.4 | 43.7 | 1061 | 2 | 99202 99211 99212 99213 99214 99401 | $81K |
| Apr 2021 | More hours than a day holds at a conservative unit price | 10.7 | 46.7 | 31.1 | 42.4 | 1038 | 2 | 99202 99211 99212 99213 99214 99401 99402 | $76K |
| May 2021 | More hours than a day holds at a conservative unit price | 8.4 | 39.0 | 26.0 | 38.3 | 892 | 2 | 99202 99211 99212 99213 99214 99401 | $66K |
| Jun 2021 | More hours than a day holds at a conservative unit price | 9.4 | 44.9 | 29.9 | 40.8 | 949 | 2 | 99202 99211 99212 99213 99214 99401 | $72K |
| Jul 2021 | More hours than a day holds at a conservative unit price | 8.9 | 41.9 | 28.0 | 39.4 | 980 | 2 | 99202 99211 99212 99213 99214 99401 99402 | $70K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VICTORIA CHEW |
| Type | Individual |
| Status | Active |
| NPI issued | May 30, 2013, last updated September 26, 2018 |
| Practice location | 398 S GREEN VALLEY RD, Watsonville, CA 95076-3099, 831-724-7525 |
| Mailing address | 1691 THE ALAMEDA, San Jose, CA 95126-2203 |
| Specialties | Student in an Organized Health Care Education/Training Program (390200000X) Family Medicine (207Q00000X, primary, license A144641 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $722K | 16% | $59 | $44 (top 5% from $110) | 71st percentile | |
| T1015 | Medicaid service code | $519K | 12% | $235 | $182 (top 5% from $488) | 70th percentile | |
| J7307 | Medicaid service code | $346K | 8% | $854 | $827 (top 5% from $1K) | 55th percentile | |
| J3490 | Unclassified drugs | $302K | 7% | $43 | $4.55 (top 5% from $108) | 87th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $287K | 7% | $81 | $60 (top 5% from $133) | 71st percentile | |
| S4993 | Medicaid service code | $271K | 6% | $116 | $77 (top 5% from $195) | 67th percentile | |
| 87491 | Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | $213K | 5% | $29 | $27 (top 5% from $50) | 56th percentile | |
| 87591 | Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique | $213K | 5% | $29 | $26 (top 5% from $46) | 59th percentile |
In this area
9 providers in Santa Cruz County, CA carry an indicator in the public record, with $5.4M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 4.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Santa Cruz, CA, ranked 809 | $199K |
|
| 3 | HOSPICE OF SANTA CRUZ COUNTY Scotts Valley, CA, ranked 1309 | $149K |
|
| 3 | DRIFTWOOD SANTA CRUZ OPERATING COMPANY, LP Santa Cruz, CA, ranked 3140 | $0 |
|
| 3 | LAZER HOLDINGS LLC Watsonville, CA, ranked 6675 | $0 |
|
| 4 | CASSY FRIEDRICH Santa Cruz, CA, ranked 8485 | $3.6M |
|
| 4 | MAI-KHANH BUI-DUY Watsonville, CA, ranked 9420 | $240K |
|
| 4 | ANDREW GERENRAICH Santa Cruz, CA, ranked 9556 | $116K |
|
| 5 | CRISTINA GAMBOA Watsonville, CA, ranked 11140 | $685K |
Recent enforcement in CA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.