Providers
All 178 in CA
PHLEBXPRESS
NPI 1174906432, organization, Temecula, CA, Clinical Medical Laboratory
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since January 20, 2023.
- Medicaid still paid claims in 14 later months, $45,245 in total.
- Medicaid dollars per patient on code 36415 ($44 per patient-month) sit in the top 5% of every provider billing that code.
score 99 of 100, rank 20, $45K at stake
Public list actions
Medicare revocation effective January 20, 2023, barred from re-enrolling until January 20, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Independent Clinical Laboratory, CA
Medicare revocation effective January 20, 2023, barred from re-enrolling until January 20, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Independent Clinical Laboratory, NV
Medicare revocation effective December 27, 2023, barred from re-enrolling until January 20, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Independent Clinical Laboratory, TX
Medicare revocation effective January 20, 2023, barred from re-enrolling until January 20, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Independent Clinical Laboratory, UT
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 | Jan 20, 2023 | Jan 20, 2033 | 14 | Feb 2023 | Mar 2024 | $45K | $205K |
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Dec 27, 2023 | Jan 20, 2033 | 3 | Jan 2024 | Mar 2024 | $5K | $53K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PHLEBXPRESS (also PHLEBXPRESS INC) |
| Type | Organization |
| Status | Active |
| NPI issued | July 6, 2015, last updated October 28, 2020 |
| Practice location | 32819 TEMECULA PKWY, STE. A, Temecula, CA 92592-9259, 877-396-9447 |
| Authorized official | LISA HAZARD (Chief Operations Officer) |
| Specialties | Clinical Medical Laboratory (291U00000X, primary) |
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 | |
|---|---|---|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | $291K | 91% | $44 | $1.97 (top 5% from $12) | 98th percentile | |
| 99001 | Medicaid service code | $20K | 6% | $83 | $1.37 (top 5% from $26) | 100th percentile | |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | $7K | 2% | $2.53 | $0.50 (top 5% from $6.99) | 83rd percentile | |
| 99000 | Medicaid service code | $1K | 0% | $63 | $0.29 (top 5% from $11) | too few months to rank | |
| 36416 | Medicaid service code | $90 | 0% | $2.25 | $0.40 (top 5% from $5.45) | too few months to rank |
In this area
178 providers in Riverside County, CA carry an indicator in the public record, with $225.2M at stake between them. The most common is more hours than a day holds, on 113 of them, followed by part of a provider network on 58. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | BABAR IQBAL MD INC Riverside, CA, ranked 267 | $13K |
|
| 1 | BABAR IQBAL Riverside, CA, ranked 268 | $13K |
|
| 1 | FERNANDO PALACIOS Wildomar, CA, ranked 334 | $4K |
|
| 1 | BORREGO COMMUNITY HEALTH FOUNDATION Lake Elsinore, CA, ranked 495 | $0 |
|
| 3 | HIGH CARE HOSPICE, INC. Riverside, CA, ranked 923 | $4.9M |
|
| 3 | AGAPE GROUP, INC Corona, CA, ranked 946 | $2.8M |
|
| 3 | RIVERSIDE CARE, INC. Riverside, CA, ranked 1070 | $844K |
|
| 3 | CARE DIMENSIONS OF THE DESERT, LLC Palm Desert, CA, ranked 1167 | $450K |
|
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.