Providers
All 73 in CA
BHUPINDER BHANDARI MD INC
NPI 1447395736, organization, Fremont, CA, Internal Medicine, Gastroenterology
1
Evidence tier
documented action, then payment
- Listed on the CA Medicaid exclusion list and the Medicare revocation list since November 23, 2022.
- Medicaid still paid claims in 9 later months, $526,010 in total.
score 96 of 100, rank 79, $526K at stake
Public list actions
Medicare revocation effective November 23, 2022, barred from re-enrolling until December 22, 2032
424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Clinic/Group Practice, 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)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Nov 23, 2022 | Dec 22, 2032 | 9 | Dec 2022 | Sep 2023 | $526K | $986K |
| CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026) | Exact NPI, name verified | Mar 21, 2023 | still open | 5 | Apr 2023 | Sep 2023 | $175K | $983K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BHUPINDER BHANDARI MD INC |
| Type | Organization |
| Status | Active |
| NPI issued | February 21, 2007, last updated September 11, 2025 |
| Practice location | 3755 BEACON AVE, Fremont, CA 94538-1411, 510-796-7796 |
| Mailing address | PO BOX 2067, Fremont, CA 94536-0067 |
| Authorized official | Bhupinder Bhandari (Owner) |
| Specialties | Internal Medicine (207R00000X) Internal Medicine, Gastroenterology (207RG0100X, 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
| 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 | $2.5M | 42% | $104 | $60 (top 5% from $133) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.8M | 31% | $66 | $44 (top 5% from $110) | too few months to rank | |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $225K | 4% | $101 | $157 (top 5% from $606) | too few months to rank | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $216K | 4% | $127 | $67 (top 5% from $174) | too few months to rank | |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | $201K | 3% | $154 | $248 (top 5% from $867) | too few months to rank | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $188K | 3% | $98 | $96 (top 5% from $249) | too few months to rank | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $143K | 2% | $151 | $95 (top 5% from $171) | too few months to rank | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $111K | 2% | $167 | $128 (top 5% from $249) | too few months to rank |
In this area
73 providers in Alameda County, CA carry an indicator in the public record, with $30.9M at stake between them. The most common is part of a provider network, on 50 of them, followed by more hours than a day holds on 20. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ST. FRANCIS MEDICAL GROUP, P.C. Hayward, CA, ranked 183 | $55K |
|
| 1 | HEALTH NOW HOME HEALTHCARE INC. Hayward, CA, ranked 586 | $0 |
|
| 3 | SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Alameda, CA, ranked 775 | $2.6M |
|
| 3 | HEALTHFLEX HOME HEALTH SERVICES Oakland, CA, ranked 991 | $1.7M |
|
| 3 | HEALTH ESSENTIALS RESOURCE & SERVICES INC Hayward, CA, ranked 1213 | $337K |
|
| 3 | BLC HOMEHEALTH INC. San Leandro, CA, ranked 1287 | $180K |
|
| 3 | NEOGREEN SOLUTIONS INC Hayward, CA, ranked 1326 | $128K |
|
| 3 | DUBLIN HELPING HAND INC Newark, CA, ranked 1656 | $1K |
|
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.