Providers
CATHERINE ELIZABETH MOIZEAU, MD
NPI 1205866613, individual, Placerville, CA, Family Medicine
5
Evidence tier
informational
score 31 of 100, rank 11178, $560K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CATHERINE ELIZABETH MOIZEAU, MD |
| Type | Individual |
| Status | Active |
| NPI issued | July 3, 2006, last updated September 11, 2023 |
| Practice location | 5168 HONPIE RD, Placerville, CA 95667-8682, 530-387-4975 |
| Specialties | Family Medicine (207Q00000X, primary, license A81624 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $1.1M | 66% | $184 | $182 (top 5% from $488) | 51st percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $486K | 29% | $73 | $44 (top 5% from $110) | 85th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $53K | 3% | $53 | $60 (top 5% from $133) | 40th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $22K | 1% | $42 | $28 (top 5% from $147) | 80th percentile | |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $2K | 0% | $43 | $2.30 (top 5% from $20) | too few months to rank | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $0 | 0% | $0.00 | $16 (top 5% from $128) | too few months to rank | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $0 | 0% | $0.00 | $95 (top 5% from $171) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 146 | 74 | $13K | $162 | $135 | 1.2x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 168 | 88 | $10K | $110 | $96 | 1.1x | 2.2x (90th percentile 3.8x) |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 24 | 18 | $930 | $76 | $59 | 1.3x | 2.2x (90th percentile 3.8x) |
| G0008 | Administration of influenza virus vaccine | 18 | 17 | $615 | $35 | $34 | 1.0x | 1.2x (90th percentile 2.3x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
6 providers in El Dorado County, CA carry an indicator in the public record, with $2.6M at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | MARSHALL MEDICAL CENTER Diamond Springs, CA, ranked 1381 | $76K |
|
| 3 | SNOWLINE HOSPICE OF EL DORADO COUNTY Diamond Springs, CA, ranked 1384 | $75K |
|
| 3 | GEM HOME HEALTHCARE, INC. Placerville, CA, ranked 3175 | $0 |
|
| 3 | SACRAMENTO RIVER HEALTHCARE LLC EL Dorado Hills, CA, ranked 7090 | $0 |
|
| 4 | WAYNE DANIEL Placerville, CA, ranked 7648 | $2.3M |
|
| 5 | VERONICA VELASQUEZ-MORFIN Placerville, CA, ranked 11501 | $170K |
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.