MAUREEN MUTURI
NPI 1417549114, individual, Woodland, CA, Physician Assistant
- Hours beyond a day in 1 month, but with up to 264 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($154 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2023 | More hours than a day holds at a conservative unit price | 3.9 | 36.3 | 24.2 | 32.6 | 264 | 2 | 99205 99213 99215 | $39K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MAUREEN MUTURI |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | February 4, 2021, last updated April 26, 2023 |
| Practice location | 414 4TH ST STE D, Woodland, CA 95695-4000, 530-406-7993 |
| Specialties | Physician Assistant (363A00000X, primary) |
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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $480K | 48% | $115 | $44 (top 5% from $110) | 95th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $347K | 35% | $154 | $60 (top 5% from $133) | 97th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $66K | 7% | $206 | $88 (top 5% from $210) | 95th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $43K | 4% | $296 | $128 (top 5% from $249) | 97th percentile | |
| T1015 | Medicaid service code | $29K | 3% | $296 | $182 (top 5% from $488) | too few months to rank | |
| T1014 | Medicaid service code | $20K | 2% | $5.45 | $14 (top 5% from $123) | 23rd percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $16K | 2% | $76 | $112 (top 5% from $313) | 28th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $514 | 0% | $43 | $67 (top 5% from $121) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 137 | 38 | $11K | $200 | $112 | 1.8x | 2.3x (90th percentile 3.8x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
5 providers in Yolo County, CA carry an indicator in the public record, with $2.2M at stake between them. The most common is part of a provider network, on 2 of them, followed by more hours than a day holds on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JESSE VAUGHN Davis, CA, ranked 388 | $1K |
|
| 3 | RIVER BEND HOLDINGS, LLC West Sacramento, CA, ranked 1603 | $4K |
|
| 3 | WEST COURT LANE HEALTHCARE, INC. Davis, CA, ranked 2686 | $0 |
|
| 4 | LINDSAY CASSEY West Sacramento, CA, ranked 8708 | $2.1M |
|
| 5 | MARKIE MALDONADO Woodland, CA, ranked 11575 | $131K |
Recent enforcement in CA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.