Providers
DANIEL MARDONES, MD
NPI 1194705475, individual, Anchorage, AK, Psychiatry & Neurology, Child & Adolescent Psychiatry
5
Evidence tier
informational
- Medicaid dollars per patient on code 99232 ($460 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10155, $785K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DANIEL MARDONES, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 20, 2006, last updated February 3, 2023 |
| Practice location | 2530 DEBARR RD, Anchorage, AK 99508-2948, 907-265-4220 |
| Mailing address | PO BOX 241889, Anchorage, AK 99524-1889 |
| Specialties | Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 3427 AK) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, primary, license MD-7483 HI) |
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 | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $569K | 55% | $460 | $96 (top 5% from $249) | 100th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $369K | 36% | $340 | $67 (top 5% from $174) | 100th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $44K | 4% | $274 | $81 (top 5% from $170) | 99th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $20K | 2% | $108 | $37 (top 5% from $103) | 96th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $12K | 1% | $200 | $30 (top 5% from $134) | too few months to rank | |
| 99239 | Hospital discharge day management, more than 30 minutes | $10K | 1% | $139 | $49 (top 5% from $101) | too few months to rank | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $1K | 0% | $97 | $14 (top 5% from $58) | too few months to rank |
In this area
3 providers in Anchorage Municipality County, AK carry an indicator in the public record, with $41K at stake between them. The most common is named in an enforcement record, on 1 of them, followed by part of a provider network on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | 3707 OREGON LLC Anchorage, AK, ranked 660 | $0 |
|
| 3 | MD CHOICE HOSPICE OF ALASKA INC Anchorage, AK, ranked 5983 | $0 |
|
| 4 | COURTNEY MOODY Eagle River, AK, ranked 9660 | $41K |
|
Recent enforcement in AK
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedMar 18, 2026
Anchorage Doctor Sentenced to Prison for Multi-Million-Dollar Health Care Fraud and Tax Evasion
The Tans deceived patients about the medications injected, injecting free samples, expired medications and medications other than those prescribed, and billed more than 10 insurance plans for 4,829 units of medication despite purchasing only 369 units, and filed false tax returns overstating clinic expenses.
DOJPleaded guiltyNov 18, 2025
Anchorage Doctor and Husband Plead Guilty to Multi-Million Dollar Health Care, Tax Fraud Schemes
An Anchorage rheumatologist and her husband underdosed patients, injected free samples, expired, or different medications, and billed more than 10 insurance plans for 4,829 units of medication despite purchasing only 369 units, and overstated clinic expenses on tax returns.
DOJIndictedJul 22, 2024
Alaska Doctor and Her Husband Charged with Health Care Fraud and Tax Evasion
The indictment alleges the couple defrauded health care benefit programs by causing the submission of false claims that misrepresented the type and dosage of medication and the scope of medical services provided to patients, created false medical records, and evaded income taxes.
DOJIndictedJul 22, 2024
Anchorage doctor and her husband charged with health care fraud and tax evasion
The indictment alleges the couple defrauded health care benefit programs by causing the submission of false claims that misrepresented the type and dosage of medication and the scope of medical services provided to patients, created false medical records, and evaded income taxes.
DOJIndictedFeb 19, 2024
Matanuska Valley Woman charged with healthcare fraud, false statements
Beginning in January 2017, Dobbs allegedly executed and attempted to execute a scheme to defraud healthcare benefit programs and made a false statement to a federally insured bank in a loan application.
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.