Providers

ZAIN MEDICAL CENTER

NPI 1427416437, organization, Richland, WA, Obstetrics & Gynecology

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since November 22, 2019.
  • Medicaid still paid claims in 13 later months, $425,774 in total.
score 96 of 100, rank 87, $426K at stake

Public list actions

Medicare revocation effective November 22, 2019, barred from re-enrolling until November 22, 2029
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Clinic/Group Practice, WA

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.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 22, 2019Nov 22, 202913Dec 2019Dec 2020$426K$685K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameZAIN MEDICAL CENTER
TypeOrganization
StatusActive
NPI issuedFebruary 4, 2016, last updated July 5, 2019
Practice location2630 N COLUMBIA CENTER BLVD, Richland, WA 99352, 509-420-5053
Authorized officialSami Anwar (Ceo)
Specialties
Obstetrics & Gynecology (207V00000X, license 3607914 WA)
Physician Assistant, Medical (363AM0700X)
Obstetrics & Gynecology (207V00000X, 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
80307Testing for presence of drug, by chemistry analyzers$506K30%$88$45 (top 5% from $110)too few months to rank
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms$348K21%$183$146 (top 5% from $318)too few months to rank
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$312K19%$44$44 (top 5% from $110)too few months to rank
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$259K15%$54$60 (top 5% from $133)too few months to rank
99354Prolonged service outpatient first hour (retired 2023)$123K7%$80$78 (top 5% from $222)too few months to rank
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms$90K5%$138$58 (top 5% from $129)too few months to rank
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$23K1%$64$95 (top 5% from $171)too few months to rank
96127Assessment of emotional or behavioral problems$5K0%$4.37$4.12 (top 5% from $19)too few months to rank

In this area

5 providers in Benton County, WA carry an indicator in the public record, with $2.1M 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.

tierproviderat stakewhy
3SUNNYSIDE HOME HEALTH
Sunnyside, WA, ranked 3148
$0
  • Part of provider network D1-00104, ranked 104 nationally.
3RICHLAND MEDICAL INVESTORS, LLC
Richland, WA, ranked 4311
$0
  • Part of provider network D1-00104, ranked 104 nationally.
4CLOREESE WILKINSON-RIVERA
Kennewick, WA, ranked 8208
$733K
  • Hours beyond a day in 8 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
5BENJAMIN PE
Richland, WA, ranked 10052
$1.3M
  • Medicaid dollars per patient on code 99214 ($229 per patient-month) sit in the top 5% of every provider billing that code.
5EDWARD SALKO
Kennewick, WA, ranked 11756
$48K

Recent enforcement in WA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJSentencedMar 27, 2026
Local Physician Sentenced to 1 Year Imprisonment, a $60,000 fine, and Restitution of $349,272.79 for Adulterating and Misbranding Medical Devices with the Intent to Defraud
Haeger purchased over 500 used and recalled CPAP and BiPAP devices, had the sound abatement foam removed outside clean room conditions, provided the devices to Washington State Medicaid patients through his sleep clinic, and billed Medicaid representing them as new devices in good working order.
DOJCivil settlementJan 12, 2026
DOJ and Seattle-based FidaLab, LLC settle allegations it inflated bills to government health care programs
FidaLab billed Medicare for a series of urinary tract infection tests under multiple billing codes instead of a single code after its request to bill the tests as a panel was denied.
DOJPleaded guiltyDec 18, 2025
Local Physician Pleads Guilty to Adulterating and Misbranding Medical Devices with the Intent to Defraud
Physician purchased over 500 used and recalled CPAP and BiPAP devices, had the sound abatement foam removed outside of clean room conditions, provided the devices to Washington State Medicaid patients, and had staff bill Medicaid representing them as new devices in good working order.
DOJCivil settlementDec 10, 2025
Spokane Physician Pays $120,000 to Resolve Allegations He Prescribed Controlled Substances Without Legitimate Medical Purpose
Between 2017 and 2025 a licensed physician issued over 1,400 prescriptions for controlled substances to thirteen identified patients that lacked legitimate medical purposes or were outside the usual course of professional practice, failing to address red flags of substance abuse.
DOJSentencedDec 2, 2025
Indian national sentenced to prison for Medicare fraud scheme that stole more than $1 million in taxpayer funds
Asif conspired with others to bill Medicare for COVID-19 tests and other respiratory illness tests that had not been ordered or performed through American Labworks LLC.

Referral packet

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