Providers
All 19 in CA
JUAN ESTEBAN POSADA, M.D.
NPI 1265496301, individual, San Francisco, CA, Family Medicine, Adult Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since January 27, 2021.
- Medicaid still paid claims in 10 later months, $1,835 in total.
score 93 of 100, rank 370, $2K at stake
Public list actions
Medicare revocation effective January 27, 2021, barred from re-enrolling until January 27, 2031
424.535(a)(3) felonies, Practitioner - Family Practice, CA
OIG exclusion March 20, 2023 under section 1128a1
Physician (MD, DO), General Practice, Cupertino, 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 |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(3) felonies | Exact NPI, name verified | Jan 27, 2021 | Jan 27, 2031 | 10 | Feb 2021 | Nov 2021 | $2K | $1K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JUAN ESTEBAN POSADA, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | April 14, 2006, last updated March 7, 2022 |
| Practice location | 2480 MISSION ST STE 221, San Francisco, CA 94110-2485, 628-223-5395 |
| Specialties | Family Medicine, Adult Medicine (207QA0505X, primary, license A54533 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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $2K | 44% | $0.37 | $60 (top 5% from $133) | 2nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $679 | 17% | $0.23 | $44 (top 5% from $110) | 3rd percentile | |
| 99395 | Medicaid service code | $619 | 15% | $6.01 | $73 (top 5% from $138) | 17th percentile | |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $541 | 13% | $0.63 | $11 (top 5% from $25) | 2nd percentile | |
| 99385 | Medicaid service code | $412 | 10% | $34 | $74 (top 5% from $146) | too few months to rank | |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | $32 | 1% | $0.04 | $1.54 (top 5% from $9.17) | 17th percentile | |
| 99396 | Medicaid service code | $0 | 0% | $0.00 | $70 (top 5% from $132) | 0th percentile | |
| 99423 | Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes | $0 | 0% | $0.00 | $118 (top 5% from $231) | 0th percentile |
In this area
19 providers in San Francisco County, CA carry an indicator in the public record, with $9.4M at stake between them. The most common is part of a provider network, on 10 of them, followed by more hours than a day holds on 8.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | SUTTER VISITING NURSE ASSOCIATION AND HOSPICE San Francisco, CA, ranked 1210 | $339K |
|
| 3 | PINE STREET SNF, LLC San Francisco, CA, ranked 1244 | $262K |
|
| 3 | OWEN HEALTHCARE, LLC San Francisco, CA, ranked 1373 | $82K |
|
| 3 | DONE HEALTH P.C. San Francisco, CA, ranked 1989 | $0 |
|
| 3 | GOLDEN CALIFORNIA HEALTHCARE, LLC San Francisco, CA, ranked 3174 | $0 |
|
| 3 | SUTTER BAY HOSPITALS San Francisco, CA, ranked 3652 | $0 |
|
| 3 | SUTTER VISITING NURSE ASSOCIATION AND HOSPICE San Francisco, CA, ranked 3967 | $0 |
|
| 3 | GOLDEN GATEIDENCE OPCO, LLC San Francisco, CA, ranked 4070 | $0 |
|
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.