Providers
RANDOLPH CLINTON THOMAS, M.D.
NPI 1235219197, individual, Vacaville, CA, Pediatrics
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 17 months, but with up to 898 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8851, $1.4M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 58.8 | 58.5 | 39.0 | 58.5 | 772 | 2 | 92507 92508 | $94K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 72.8 | 72.3 | 48.2 | 64.9 | 840 | 2 | 92507 92508 | $119K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 42.8 | 42.7 | 28.5 | 38.8 | 771 | 2 | 92507 92508 | $69K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 40.6 | 40.3 | 26.9 | 39.7 | 774 | 2 | 92507 92508 | $66K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 56.5 | 55.2 | 36.8 | 49.6 | 875 | 2 | 92507 92508 99213 99214 | $93K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 50.9 | 49.8 | 33.2 | 46.5 | 856 | 2 | 92507 92508 99213 99214 | $75K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 24.5 | 24.4 | 16.2 | 24.0 | 816 | 2 | 92507 92508 | $40K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 32.9 | 32.7 | 21.8 | 29.8 | 805 | 2 | 92507 92508 | $52K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 29.4 | 29.3 | 19.6 | 26.4 | 770 | 2 | 92507 92508 99213 99214 | $49K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 34.9 | 35.7 | 23.8 | 34.0 | 810 | 2 | 92507 92508 99213 99214 | $58K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 38.3 | 39.2 | 26.1 | 35.2 | 851 | 2 | 92507 92508 99213 99214 | $65K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 24.3 | 24.8 | 16.6 | 23.7 | 831 | 2 | 92507 92508 99213 99214 | $40K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 25.6 | 26.2 | 17.5 | 24.6 | 862 | 2 | 92507 92508 99214 | $44K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 35.4 | 35.2 | 23.4 | 31.6 | 898 | 2 | 92507 92508 99213 99214 | $68K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 32.8 | 31.2 | 20.8 | 30.1 | 887 | 2 | 92507 92508 99213 99214 | $56K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 24.9 | 25.1 | 16.7 | 23.4 | 692 | 2 | 92507 92508 | $45K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 25.8 | 26.0 | 17.3 | 23.4 | 703 | 2 | 92507 92508 | $51K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RANDOLPH CLINTON THOMAS, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | October 16, 2006, last updated July 22, 2015 |
| Practice location | 770 MASON ST, Vacaville, CA 95688-4646, 707-427-4900 |
| Mailing address | 10470 OLD PLACERVILLE RD, SUITE 100, Sacramento, CA 95827-2539 |
| Specialties | Pediatrics (208000000X, primary, license G48302 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 | |
|---|---|---|---|---|---|---|---|
| 92508 | Treatment of speech, language, voice, communication, and/or hearing processing disorder in a group setting | $1.3M | 89% | $66 | $48 (top 5% from $111) | 65th percentile | |
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | $146K | 10% | $139 | $190 (top 5% from $477) | 32nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $6K | 0% | $8.46 | $44 (top 5% from $110) | 10th percentile | |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $4K | 0% | $9.98 | $2.30 (top 5% from $20) | 72nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $3K | 0% | $12 | $60 (top 5% from $133) | 7th percentile | |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | $225 | 0% | $11 | $3.72 (top 5% from $19) | too few months to rank | |
| 99393 | Medicaid service code | $44 | 0% | $3.65 | $78 (top 5% from $121) | too few months to rank |
In this area
8 providers in Solano County, CA carry an indicator in the public record, with $1.5M at stake between them. The most common is part of a provider network, on 7 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | BENJAMIN HEALTHCARE Vallejo, CA, ranked 1339 | $122K |
|
| 3 | R2K2 LLC Fairfield, CA, ranked 2705 | $0 |
|
| 3 | BENJAMIN HEALTHCARE Vallejo, CA, ranked 3096 | $0 |
|
| 3 | HEARTWOOD AVENUE LLC Vallejo, CA, ranked 3374 | $0 |
|
| 3 | LUXOR CARE INC Vallejo, CA, ranked 4281 | $0 |
|
| 3 | 1527 SPRINGS ROAD LLC Vallejo, CA, ranked 6454 | $0 |
|
| 3 | SAGEBRUSH HEALTHCARE, INC. Fairfield, CA, ranked 7170 | $0 |
|
| 4 | DESMOND CARSON Vallejo, CA, ranked 8848 | $1.4M |
|
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.