Providers
BENJAMIN H MEYER, M.D.
NPI 1447235254, individual, Ukiah, CA, Internal Medicine, Cardiovascular Disease
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since April 22, 2019.
- Medicaid still paid claims in 21 later months, $18,636 in total.
score 94 of 100, rank 250, $19K at stake
Public list actions
Medicare revocation effective April 22, 2019, barred from re-enrolling until April 22, 2029
424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies, Practitioner - Cardiovascular Disease (Cardiology), DE
Medicare revocation effective April 22, 2019, barred from re-enrolling until April 22, 2029
424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies, Practitioner - Cardiovascular Disease (Cardiology), MD
Medicare revocation effective April 22, 2019, barred from re-enrolling until April 22, 2029
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies, Practitioner - Cardiovascular Disease (Cardiology), CA
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 |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies | Exact NPI, name verified | Apr 22, 2019 | Apr 22, 2029 | 21 | May 2019 | Mar 2021 | $19K | $23K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BENJAMIN H MEYER, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | December 14, 2005, last updated April 13, 2017 |
| Practice location | 115 HOSPITAL DR, Ukiah, CA 95482-4591, 707-463-2400 |
| Mailing address | 260 HOSPITAL DR, SUITE 110, Ukiah, CA 95482-4568 |
| Specialties | Internal Medicine, Cardiovascular Disease (207RC0000X, primary, license G88684 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 | $19K | 67% | $27 | $60 (top 5% from $133) | 14th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $6K | 22% | $83 | $128 (top 5% from $249) | too few months to rank | |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $2K | 6% | $44 | $11 (top 5% from $25) | too few months to rank | |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $1K | 4% | $76 | $52 (top 5% from $244) | too few months to rank | |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $147 | 1% | $3.87 | $5.72 (top 5% from $13) | too few months to rank |
In this area
5 providers in Mendocino County, CA carry an indicator in the public record, with $16K at stake between them. The most common is part of a provider network, on 5 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ENSIGN PLEASANTON LLC Ukiah, CA, ranked 871 | $6K |
|
| 3 | ENSIGN WILLITS LLC Willits, CA, ranked 873 | $5K |
|
| 3 | WESTERN HEALTH RESOURCES Willits, CA, ranked 1597 | $5K |
|
| 3 | ADVENTIST HEALTH MENDOCINO COAST Fort Bragg, CA, ranked 5425 | $0 |
|
| 3 | WESTERN HEALTH RESOURCES Willits, CA, ranked 6232 | $0 |
|
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.