Providers
TERESA LYNN SHINDER, D.O.
NPI 1427253764, individual, Saint Helena, CA, Pediatrics
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 8 months, but with up to 1729 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 50 of 100, rank 9597, $72K 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 | 26.9 | 7.8 | 5.2 | 7.1 | 1292 | 2 | 99211 99212 99213 99214 | $10K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 26.6 | 8.7 | 5.8 | 7.8 | 1439 | 3 | 99203 99211 99212 99213 99214 | $11K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 27.3 | 6.9 | 4.6 | 6.2 | 1729 | 3 | 99203 99211 99212 99213 99214 | $8K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 26.8 | 8.2 | 5.4 | 7.4 | 1708 | 3 | 99203 99211 99212 99213 99214 | $9K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 27.4 | 12.5 | 8.4 | 11.3 | 1630 | 3 | 99211 99212 99213 99214 | $11K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 29.7 | 11.3 | 7.5 | 10.4 | 1695 | 3 | 99211 99212 99213 99214 | $9K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 27.2 | 9.0 | 6.0 | 8.8 | 1665 | 3 | 99203 99211 99212 99213 99214 | $8K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 28.6 | 7.3 | 4.8 | 6.5 | 1675 | 3 | 99203 99211 99212 99213 99214 | $7K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | TERESA LYNN SHINDER, D.O. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 18, 2007, last updated August 11, 2025 |
| Practice location | 1222 PINE ST STE A, Saint Helena, CA 94574-1830, 707-963-0931 |
| Mailing address | 1141 PEAR TREE LN STE 100, Napa, CA 94558-6485 |
| Specialties | Pediatrics (208000000X, primary, license 12019 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 | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $11.9M | 93% | $182 | $182 (top 5% from $488) | 50th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $268K | 2% | $5.13 | $44 (top 5% from $110) | 8th percentile | |
| H1001 | Medicaid service code | $66K | 1% | $76 | $68 (top 5% from $165) | 54th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $58K | 0% | $12 | $60 (top 5% from $133) | 8th percentile | |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $42K | 0% | $13 | $2.30 (top 5% from $20) | 81st 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 | $40K | 0% | $66 | $38 (top 5% from $67) | 93rd 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 | $39K | 0% | $64 | $36 (top 5% from $65) | 95th percentile | |
| 90651 | Medicaid service code | $30K | 0% | $33 | $1.93 (top 5% from $51) | 91st percentile |
In this area
6 providers in Napa County, CA carry an indicator in the public record, with $1.2M at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PETUNIA HOLDINGS, LLC Napa, CA, ranked 1491 | $21K |
|
| 3 | VETERANS HOME OF CALIFORNIA Yountville, CA, ranked 2988 | $0 |
|
| 3 | DANNY'S HOME HEALTH CARE INC. Napa, CA, ranked 3037 | $0 |
|
| 3 | NAPAIDENCE OPCO, LLC Napa, CA, ranked 5022 | $0 |
|
| 4 | AMY MONTANEZ Napa, CA, ranked 8935 | $1.2M |
|
| 4 | DAVID GORCHOFF Napa, CA, ranked 9762 | $4K |
|
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.