Providers
All 13 in TN
RAMON JONGO AQUINO, M.D.
NPI 1508818311, individual, Clarksville, TN, General Practice
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since September 14, 2024.
- Medicaid still paid claims in 2 later months, $2,639 in total.
- Charged (charged) per a Department of Justice release dated June 23, 2026, not adjudicated.
- Medicaid paid $35,829 in the last 12 observed months.
score 93 of 100, rank 357, $3K at stake
Public list actions
Medicare revocation effective September 14, 2024, barred from re-enrolling until September 13, 2029
424.535(a)(13) prescribing authority, Practitioner - General Practice, TN
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)(13) prescribing authority | Exact NPI, name verified | Sep 14, 2024 | Sep 13, 2029 | 2 | Oct 2024 | Nov 2024 | $3K | $53K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RAMON JONGO AQUINO, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | May 17, 2006, last updated March 7, 2023 |
| Practice location | 351 DOVER RD, Clarksville, TN 37042-4144, 931-552-4495 |
| Specialties | General Practice (208D00000X, primary, license MD 15005 TN) |
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 | $293K | 73% | $36 | $60 (top 5% from $133) | 20th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $38K | 10% | $36 | $44 (top 5% from $110) | 37th percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $26K | 6% | $14 | $12 (top 5% from $49) | 60th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $12K | 3% | $44 | $67 (top 5% from $121) | 17th percentile | |
| 80305 | Testing for presence of drug, read by direct observation | $9K | 2% | $3.20 | $9.23 (top 5% from $22) | 18th percentile | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | $7K | 2% | $3.81 | $1.55 (top 5% from $31) | 73rd percentile | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | $6K | 1% | $3.26 | $3.46 (top 5% from $11) | 47th percentile | |
| 81002 | Urinalysis, manual test | $3K | 1% | $1.06 | $2.15 (top 5% from $4.65) | 30th percentile |
Medicare Part B 2024, largest codes
| 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 | 865 | 334 | $47K | $105 | $100 | 1.0x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 116 | 77 | $6K | $80 | $76 | 1.1x | 2.2x (90th percentile 3.8x) |
| 36415 | Insertion of needle into vein for collection of blood sample | 357 | 226 | $3K | $35 | $9 | 4.0x | 2.0x (90th percentile 3.5x) |
| 96372 | Injection of drug or substance under skin or into muscle | 285 | 115 | $2K | $28 | $13 | 2.2x | 3.6x (90th percentile 6.4x) |
| 81002 | Urinalysis, manual test | 262 | 132 | $893 | $25 | $3 | 7.4x | 3.5x (90th percentile 7.6x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 22 | 22 | $614 | $105 | $100 | 1.0x | 2.4x (90th percentile 3.9x) |
| 80305 | Testing for presence of drug, read by direct observation | 37 | 20 | $457 | $70 | $12 | 5.7x | 3.2x (90th percentile 8.2x) |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 644 | 110 | $421 | $15 | $1 | 15.0x | 6.3x (90th percentile 22.6x) |
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
13 providers in Montgomery County, TN carry an indicator in the public record, with $18.4M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by part of a provider network on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CLARKSVILLE HOME CARE SERVICES LLC Clarksville, TN, ranked 1560 | $8K |
|
| 3 | PAIN INSTITUTE OF NASHVILLE, PLC Clarksville, TN, ranked 1613 | $3K |
|
| 3 | CLARKSVILLE HOME CARE SERVICES LLC Clarksville, TN, ranked 2162 | $0 |
|
| 3 | CLARKSVILLE PAIN INSTITUTE, LLC Clarksville, TN, ranked 3522 | $0 |
|
| 3 | CLARKSVILLE PAIN INSTITUTE, LLC Clarksville, TN, ranked 4778 | $0 |
|
| 3 | CLARKSVILLE NURSING AND REHABILITATION CENTER LLC Clarksville, TN, ranked 7249 | $0 |
|
| 4 | ANDREA SONNABEND Clarksville, TN, ranked 8339 | $7.0M |
|
| 4 | MELANIE DAUGHERTY Clarksville, TN, ranked 8395 | $5.3M |
|
Recent enforcement in TN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 10, 2026
Celina Pharmacy Owner/Two Pharmacies Agree to Pay $450,000 & Receive Ban on Handling Controlled Substances
The defendants knowingly dispensed controlled substances without valid prescriptions and outside the usual course of professional pharmacy practice, and falsely billed Medicare for prescriptions that were not medically necessary or otherwise eligible for reimbursement.
DOJSentencedJul 8, 2026
Memphis Gynecologist Sentenced to 20 Years in Prison for Adulterating Medical Devices and Health Care Fraud
Kumar used adulterated and unlabeled single-use and improperly reprocessed reusable hysteroscopy devices in more than 15,000 hysteroscopy with biopsy procedures and billed Medicare and Medicaid for the procedures.
DOJSentencedJun 24, 2026
Celina Pharmacy Owner Sentenced for Opioid Distribution/Health Care Fraud
The majority owner of two pharmacies conspired to unlawfully dispense controlled substances despite red flags of abuse and diversion, submitted false claims to Medicare Part D and TennCare, and paid patient co-payments, cash, and "Monkey Bucks" to increase prescription volume.
DOJChargedJun 23, 2026
Clarksville Physician Charged with Health Care Fraud Related to Controlled Substance Prescribing Scheme
Aquino owned and operated North Clarksville Medical Center and for more than five years prescribed medically unnecessary controlled substances, totaling more than 1.08 million pills and doses, that were not issued for a legitimate medical purpose in the usual course of professional practice, causing losses of approximately $335,621.73 to health care benefit programs.
DOJIndictedJun 23, 2026
Gordonsville Physician Indicted on Health Care Fraud and Controlled Substance Charges
Moss owned and operated Gordonsville Clinic and prescribed medically unnecessary controlled substances, totaling more than 5.6 million pills and doses over more than eight years, that were not issued for a legitimate medical purpose in the usual course of professional practice.
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.