Providers
All 101 in TX
RICHARD MARQUEZ, PA-C
NPI 1306877766, individual, San Antonio, TX, Physician Assistant, Medical
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since May 29, 2019.
- Medicaid still paid claims in 7 later months, $202 in total.
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- A second detector adds a weaker signal.
score 92 of 100, rank 434, $202 at stake
Public list actions
Medicare revocation effective May 29, 2019, barred from re-enrolling until March 30, 2034
424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Physician Assistant, TX
OIG exclusion December 20, 2023 under section 1128a4
Ind- Lic HC Serv Pro, Physician Assistant, Beaumont, TX
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)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion) | Exact NPI, name verified | May 29, 2019 | Mar 30, 2034 | 7 | Jun 2019 | Dec 2021 | $202 | $15K |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2019 | More hours than a day holds at a conservative unit price | 4.1 | 67.2 | 44.8 | 60.4 | 142 | 1 | 99214 99309 99310 | $13K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RICHARD MARQUEZ, PA-C |
| Type | Individual |
| Status | Active |
| NPI issued | July 5, 2006, last updated March 4, 2011 |
| Practice location | 6800 W IH 10, SUITE 200, San Antonio, TX 78201-2011, 210-271-3203 |
| Mailing address | 927 MCCULLOUGH, San Antonio, TX 78215-1630 |
| Specialties | Physician Assistant, Medical (363AM0700X, primary, license PA04118 TX) |
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 | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $7K | 45% | $11 | $21 (top 5% from $84) | 23rd percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $5K | 37% | $17 | $30 (top 5% from $134) | 29th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $3K | 17% | $15 | $60 (top 5% from $133) | 8th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $150 | 1% | $2.20 | $14 (top 5% from $58) | too few months to rank | |
| 4086F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.14) | too few months to rank | |
| 1090F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.05) | too few months to rank | |
| G8427 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.08) | too few months to rank | |
| 3288F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.00) | too few months to rank |
In this area
101 providers in Bexar County, TX carry an indicator in the public record, with $42.0M at stake between them. The most common is part of a provider network, on 73 of them, followed by more hours than a day holds on 21. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | LUCINDA PEREZ San Antonio, TX, ranked 521 | $0 |
|
| 1 | TOX MANAGEMENT LLC San Antonio, TX, ranked 528 | $0 |
|
| 1 | TRI-STATE TOXICOLOGY LLC San Antonio, TX, ranked 540 | $0 |
|
| 1 | FLEET AMBULANCE SERVICE, INC San Antonio, TX, ranked 602 | $0 |
|
| 3 | AMERICAN MEDICAL HOME HEALTH SERVICES - SAN ANTONIO LLC San Antonio, TX, ranked 810 | $17.1M |
|
| 3 | ECHO HOSPICE LLC San Antonio, TX, ranked 1003 | $1.5M |
|
| 3 | LOVING CARE HOME HEALTH, LLC San Antonio, TX, ranked 1117 | $608K |
|
| 3 | CONTINUCARE HOME HEALTH, INC. San Antonio, TX, ranked 1119 | $600K |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
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.