Providers
All 141 in CA
ROOZBEH BADII, M.D.
NPI 1205023512, individual, San Diego, CA, Internal Medicine
1
Evidence tier
documented action, then payment
- Listed on the OIG exclusion list and the NY Medicaid exclusion list and the CA Medicaid exclusion list since February 15, 2018.
- Medicaid still paid claims in 15 later months, $44,839 in total.
score 95 of 100, rank 199, $45K at stake
Public list actions
OIG exclusion September 20, 2018 under section 1128b5
Physician (MD, DO), Internal Medicine, San Diego, CA
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 |
|---|---|---|---|---|---|---|---|---|
| OIG exclusion list leie 1128b5 (physician (md, do)) | Exact NPI, name verified | Sep 20, 2018 | still open | 15 | Oct 2020 | Dec 2021 | $45K | $0 |
| NY Medicaid exclusion list ny omig medicaid exclusion list (tab-delimited, sept 2026) | Exact NPI, name verified | Feb 15, 2018 | still open | 15 | Oct 2020 | Dec 2021 | $45K | $0 |
| CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026) | Exact NPI, name verified | Sep 20, 2018 | still open | 15 | Oct 2020 | Dec 2021 | $45K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROOZBEH BADII, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | October 1, 2007, last updated February 20, 2017 |
| Practice location | 7225 CHARMANT DR, APT 423, San Diego, CA 92122-4388, 860-538-8938 |
| Specialties | Hospitalist (208M00000X, license 045831 CT) Internal Medicine (207R00000X, license 045831 CT) Internal Medicine (207R00000X, primary, license 238380 MA) |
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 | |
|---|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | $26K | 59% | $37 | $75 (top 5% from $185) | 15th percentile | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | $6K | 14% | $17 | $20 (top 5% from $39) | too few months to rank | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within | $5K | 12% | $7.34 | $21 (top 5% from $38) | 20th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $3K | 7% | $24 | $67 (top 5% from $121) | 8th percentile | |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $2K | 4% | $13 | $45 (top 5% from $138) | 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 | $985 | 2% | $10 | $44 (top 5% from $110) | too few months to rank | |
| 99000 | Medicaid service code | $752 | 2% | $1.55 | $0.29 (top 5% from $11) | 64th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $702 | 2% | $8.36 | $28 (top 5% from $147) | too few months to rank |
In this area
141 providers in San Diego County, CA carry an indicator in the public record, with $221.8M at stake between them. The most common is more hours than a day holds, on 83 of them, followed by part of a provider network on 43. 11 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | BRENTON WYNN National City, CA, ranked 19 | $52K |
|
| 1 | MICHAEL I KELLER M.D. INC San Diego, CA, ranked 124 | $141K |
|
| 1 | BRENTON D. WYNN, MD INC National City, CA, ranked 135 | $125K |
|
| 1 | BRUCE BAKER Poway, CA, ranked 144 | $107K |
|
| 1 | KYUNG BOEN San Marcos, CA, ranked 191 | $50K |
|
| 1 | CHIVANO CHHIENG San Diego, CA, ranked 231 | $24K |
|
| 1 | JOHN QIAN San Diego, CA, ranked 232 | $23K |
|
| 1 | CHRISTOPHER HOLT San Diego, CA, ranked 350 | $3K |
|
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.