JEROME A. ROBSON, M.D.

NPI 1386677417, individual, Modesto, CA, Anesthesiology

Evidence tier

documented action, then payment

Listed on the CA Medicaid exclusion list since September 17, 2019.
Medicaid still paid claims in 5 later months, $8,371 in total.

score 94 of 100, rank 298, $8K at stake

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
CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026)	Exact NPI, name verified	Sep 17, 2019	still open	5	Oct 2019	Feb 2020	$8K	$2K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	JEROME A. ROBSON, M.D.
Type	Individual, sole proprietor
Status	Active
NPI issued	July 9, 2006, last updated October 22, 2014
Practice location	500 COFFEE ROAD, SUITE E, Modesto, CA 95355-4241, 209-521-1209
Mailing address	817 COFFEE ROAD, C3, Modesto, CA 95355
Specialties	Anesthesiology (207L00000X, primary, license G32736 CA) Anesthesiology, Pain Medicine (207LP2900X, license G32736 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	$9K	79%	$35	$60 (top 5% from $133)	19th percentile
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$2K	21%	$61	$95 (top 5% from $171)	too few months to rank

In this area

38 providers in Stanislaus County, CA carry an indicator in the public record, with $35.0M at stake between them. The most common is more hours than a day holds, on 23 of them, followed by part of a provider network on 14. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	JAMES YIP Modesto, CA, ranked 237	$23K	Listed on the CA Medicaid exclusion list since February 12, 2021. Medicaid still paid claims in 1 later month, $22,621 in total.
3	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Salida, CA, ranked 782	$1.8M	Part of provider network D1-00071, ranked 71 nationally. Medicaid dollars per patient on code G0151 ($1035 per patient-month) sit in the top 5% of every provider billing that code.
3	COVENANT HOME SERVICES Turlock, CA, ranked 1260	$246K	Part of provider network D1-00075, ranked 75 nationally.
3	GLOBAL HEALTH CARE SERVICES LLC Modesto, CA, ranked 1361	$94K	Part of provider network D1-00098, ranked 98 nationally.
3	VISTA DEL SOL POSTACUTE CARE Ceres, CA, ranked 1952	$0	Part of provider network D1-00138, ranked 138 nationally.
3	COVENANT HOME SERVICES Turlock, CA, ranked 2873	$0	Part of provider network D1-00075, ranked 75 nationally.
3	TRACY RIDGE HEALTHCARE, INC. Turlock, CA, ranked 3808	$0	Part of provider network D1-00041, ranked 41 nationally.
3	AVALON CARE CENTER-NEWMAN LLC Newman, CA, ranked 3839	$0	Part of provider network D1-00104, ranked 104 nationally.

All 38 in CA

Recent enforcement in CA

All releases

Department 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

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Ask this case

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