Providers
MABODAWILAGE GANGA HEMATILLAKE, MD
NPI 1407967821, individual, Altoona, PA, Internal Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 3 months, but with up to 1254 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 0001A ($80 per patient-month) sit in the top 5% of every provider billing that code.
score 52 of 100, rank 8295, $996 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 2021 | More hours than a day holds, even counting one unit per claim line | 45.0 | 0.1 | 0.1 | 0.1 | 1254 | 2 | 99212 99213 99214 99401 | $387 |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 31.5 | 0.1 | 0.0 | 0.1 | 977 | 2 | 99213 99214 | $246 |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 25.0 | 0.1 | 0.1 | 0.1 | 775 | 2 | 99212 99213 99214 | $363 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MABODAWILAGE GANGA HEMATILLAKE, MD |
| Type | Individual |
| Status | Active |
| NPI issued | August 31, 2006, last updated July 20, 2026 |
| Practice location | 2907 PLEASANT VALLEY BLVD, Altoona, PA 16602-4305, 814-943-8164 |
| Mailing address | 2050 S BLOSSER RD, Santa Maria, CA 93458-7310 |
| Specialties | Internal Medicine (207R00000X, license M8520 ID) Internal Medicine (207R00000X, license 379576-1205 UT) Internal Medicine (207R00000X, primary, license C149813 CA) Internal Medicine (207R00000X, license MD428463 PA) |
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 | $24.3M | 83% | $191 | $182 (top 5% from $488) | 54th percentile | |
| 0001A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose | $1.2M | 4% | $80 | $36 (top 5% from $65) | 97th percentile | |
| 0002A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose | $1.2M | 4% | $80 | $38 (top 5% from $67) | 97th percentile | |
| 0012A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose | $674K | 2% | $71 | $35 (top 5% from $67) | 95th percentile | |
| 0011A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose | $541K | 2% | $53 | $29 (top 5% from $65) | 93rd percentile | |
| 0064A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.25ml dosage, booster dose | $317K | 1% | $57 | $36 (top 5% from $81) | 88th percentile | |
| 0004A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; booster dose | $282K | 1% | $68 | $37 (top 5% from $67) | 96th percentile | |
| 0071A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 10 mcg/0.2ml dosage, diluent reconstituted, tris-sucrose formulation; first dose | $248K | 1% | $71 | $40 (top 5% from $76) | 94th percentile |
In this area
2 providers in Blair County, PA carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ADVANTAGE HOME HEALTH SERVICES, LLC Altoona, PA, ranked 5100 | $0 |
|
| 3 | HOMEWOOD LIVING MARTINSBURG, INC. Martinsburg, PA, ranked 5793 | $0 |
|
Recent enforcement in PA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedAug 4, 2026
The Fraud Division Announces Charges Against 19 Defendants for Medicaid Home Health Aid Schemes
Nineteen defendants, including owners and employees of home care companies, home health aides, and Medicaid recipients, were charged with submitting claims for home care services that were not provided, including claims for hours when purported aides were incarcerated, hospitalized, working other jobs, or traveling overseas.
DOJIndictedJun 23, 2026
Two Doctors, Physician’s Assistant Charged With Unlawfully Distributing Controlled Substances Via Voicemail “Refill Line”
From January 2020 through March 2025 the defendants allegedly operated a voicemail refill line that allowed patients to receive refills of Schedule II controlled substance prescriptions, namely oxycodone and amphetamine, without interacting with a licensed prescriber, and submitted prescriptions in another medical professional's name to deceive pharmacies.
DOJChargedJun 23, 2026
Scranton Woman Charged With Conspiracy To Commit Bank Fraud With Funds Derived From Federal Health Care Programs
Beaubrun is alleged to have stolen and appropriated checks intended by Entity #1 for various payees, including funds derived from Medicare and Medicaid, and endorsed them to herself, causing a loss of over $300,000.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize's in-store retail pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid and TRICARE, causing those programs to pay inflated amounts.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize supermarket pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid, and TRICARE, causing those programs to pay inflated amounts.
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.