Providers
All 30 in IA
RICHARD MARK GODDARD, M.D.
NPI 1174563332, individual, Fort Madison, IA, Obstetrics & Gynecology
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since September 8, 2023.
- Medicaid still paid claims in 2 later months, $1,474 in total.
score 93 of 100, rank 378, $1K at stake
Public list actions
Medicare revocation effective September 8, 2023, barred from re-enrolling until July 11, 2029
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid), Practitioner - Obstetrics/Gynecology, CA
Medicare revocation effective September 8, 2023, barred from re-enrolling until July 17, 2029
424.535(a)(12) other program termination (medicaid), Practitioner - Obstetrics/Gynecology, UT
Medicare revocation effective September 8, 2023, barred from re-enrolling until July 11, 2029
424.535(a)(12) other program termination (medicaid), Practitioner - Obstetrics/Gynecology, ME
Medicare revocation effective September 8, 2023, barred from re-enrolling until July 10, 2029
424.535(a)(12) other program termination (medicaid), Practitioner - Obstetrics/Gynecology, IA
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)(12) other program termination (medicaid) | Exact NPI, name verified | Sep 8, 2023 | Jul 17, 2029 | 2 | Oct 2023 | Jan 2024 | $1K | $154K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RICHARD MARK GODDARD, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | June 7, 2006, last updated August 24, 2023 |
| Practice location | 5445 AVENUE O, Fort Madison, IA 52627-9611, 319-768-1000 |
| Mailing address | 5409 AVENUE 0, SUITE 122, Fort Madison, IA 52627 |
| Specialties | Obstetrics & Gynecology (207V00000X, license 116496935-1205 UT) Obstetrics & Gynecology (207V00000X, primary, license MD-31157 IA) |
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 | $38K | 95% | $810 | $182 (top 5% from $488) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1K | 3% | $39 | $44 (top 5% from $110) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $987 | 2% | $71 | $60 (top 5% from $133) | too few months to rank |
In this area
30 providers in IA carry an indicator in the public record, with $16.3M at stake between them. The most common is part of a provider network, on 20 of them, followed by more hours than a day holds on 7. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | PATRICK CHAU Sioux City, IA, ranked 4 | $489K |
|
| 3 | NEW CHOICES LLC Bettendorf, IA, ranked 1113 | $623K |
|
| 3 | FREEDOM HOME HEALTH CARE, INC. Ankeny, IA, ranked 1141 | $519K |
|
| 3 | AMY HECHT Sioux City, IA, ranked 1765 | $0 |
|
| 3 | NEWTON VILLAGE, INC. Newton, IA, ranked 1820 | $0 |
|
| 3 | CCRC OF WEST DES MOINES, LLC West Des Moines, IA, ranked 2057 | $0 |
|
| 3 | RIVERVIEW SNF OPERATOR LLC Pleasant Valley, IA, ranked 2569 | $0 |
|
| 3 | BEACON OF HOPE HOSPICE, INC. Davenport, IA, ranked 2703 | $0 |
|
Recent enforcement in IA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJComplaint filedJun 29, 2026
Southern District of Iowa Announces Cases Related to the 2026 National Health Care Fraud Takedown
A civil False Claims Act complaint alleges a plastic surgeon submitted only artificially-inflated list price invoices for skin substitute products to a Medicare contractor, and separately three health systems agreed to pay $4,643,128 after self-disclosing overuse and over-billing of the Impella heart pump device.
DOJIndictedJun 24, 2026
National Health Care Fraud Takedown Results in 455 Defendants Charged in Connection with More Than $6.5 Billion in Alleged Fraud
A home care company and its owner were indicted for submitting claims to the Veterans Community Care Program for home health care services not actually provided, including services claimed after a veteran client died, and a plastic surgery practice and its owner were sued for giving Medicare false invoices for skin substitute products used to set reimbursement.
DOJPleaded guiltyNov 13, 2025
Iowa Attorney Pleads Guilty to Making a False Statement to Iowa Medicaid
An attorney submitted documents to Iowa Medicaid to qualify an elderly client for nursing home benefits, including a statement that a 1961 Rolls Royce had a fair market value of $194,000 when he knew it did not.
DOJCivil settlementJan 16, 2025
Two Iowa Healthcare Practitioners Settle Allegations for False Submission of Claims to Federal Healthcare Programs in Telemedicine Scheme
Two practitioners billed Medicare for office visits and medical discussions they did not provide and signed orders for medically unnecessary durable medical equipment such as orthotic braces based on recorded cold calls to beneficiaries they never contacted.
DOJSentencedJul 3, 2024
Illegal Alien and Two Others Sentenced to Federal Prison in Organ Transplant Scheme
Herrera Rosales assumed another person's identity, provided to him by Herrera and Guerra, to apply for and obtain more than $500,000 in Medicare, Minnesota Medicaid, and Social Security benefits, including a federally funded kidney transplant.
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.