Providers

BRENTON D WYNN, M.D.

NPI 1528069820, individual, National City, CA, Physical Medicine & Rehabilitation, Pain Medicine

1
Evidence tier
documented action, then payment
  • Listed on the CA Medicaid exclusion list and the Medicare revocation list since May 23, 2022.
  • Medicaid still paid claims in 6 later months, $51,770 in total.
  • Medicaid dollars per patient on code Q9966 ($37 per patient-month) sit in the top 5% of every provider billing that code.
score 99 of 100, rank 19, $52K at stake

Public list actions

Medicare revocation effective August 20, 2022, barred from re-enrolling until August 19, 2027
424.535(a)(13) prescribing authority, Practitioner - Physical Medicine And Rehabilitation, 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.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
CA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedMay 23, 2022still open6Jun 2022Nov 2022$52K$110K
Medicare revocation list
424.535(a)(13) prescribing authority
Exact NPI, name verifiedAug 20, 2022Aug 19, 20273Sep 2022Nov 2022$11K$129K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameBRENTON D WYNN, M.D.
TypeIndividual
StatusActive
NPI issuedAugust 9, 2005, last updated June 24, 2021
Practice location502 EUCLID AVE STE 200, National City, CA 91950-2984, 619-434-4019
Specialties
Specialist (174400000X, license A73257 CA)
Physical Medicine & Rehabilitation, Pain Medicine (2081P2900X, primary, license A73257 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$108K45%$18$60 (top 5% from $133)9th percentile
J3300Injection, triamcinolone acetonide, preservative free, 1 mg$90K38%$229$70 (top 5% from $250)89th percentile
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml$16K7%$37$0.43 (top 5% from $19)97th percentile
20610Aspiration and/or injection of fluid from large joint$10K4%$58$40 (top 5% from $128)79th percentile
77002Fluoroscopic guidance for needle placement$4K2%$30$32 (top 5% from $104)45th percentile
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$3K1%$48$95 (top 5% from $171)too few months to rank
20553Injection of trigger points, 3 or more muscles$3K1%$31$37 (top 5% from $144)38th percentile
96116Exam of neurobehavioral status, first hour$9330%$3.05$59 (top 5% from $351)13th percentile

In this area

141 providers in San Diego County, CA carry an indicator in the public record, with $221.8M at stake between them. The most common is more hours than a day holds, on 83 of them, followed by part of a provider network on 43. 11 are tier 1: documented action, then payment.

tierproviderat stakewhy
1MICHAEL I KELLER M.D. INC
San Diego, CA, ranked 124
$141K
  • Listed on the CA Medicaid exclusion list since December 10, 2020.
  • Medicaid still paid claims in 18 later months, $141,240 in total.
1BRENTON D. WYNN, MD INC
National City, CA, ranked 135
$125K
  • Listed on the CA Medicaid exclusion list since May 23, 2022.
  • Medicaid still paid claims in 27 later months, $125,367 in total.
1BRUCE BAKER
Poway, CA, ranked 144
$107K
  • Listed on the CA Medicaid exclusion list since July 13, 2020.
  • Medicaid still paid claims in 3 later months, $106,617 in total.
1KYUNG BOEN
San Marcos, CA, ranked 191
$50K
  • Listed on the WA Medicaid exclusion list since April 7, 2017.
  • Medicaid still paid claims in 16 later months, $50,384 in total.
1ROOZBEH BADII
San Diego, CA, ranked 199
$45K
  • Listed on the OIG exclusion list and the NY Medicaid exclusion list and the CA Medicaid exclusion list since February 15, 2018.
  • Medicaid still paid claims in 15 later months, $44,839 in total.
1CHIVANO CHHIENG
San Diego, CA, ranked 231
$24K
  • Listed on the CA Medicaid exclusion list since July 14, 2020.
  • Medicaid still paid claims in 12 later months, $23,669 in total.
1JOHN QIAN
San Diego, CA, ranked 232
$23K
  • Listed on the CA Medicaid exclusion list since February 11, 2022.
  • Medicaid still paid claims in 5 later months, $23,392 in total.
  • and 3 more
1CHRISTOPHER HOLT
San Diego, CA, ranked 350
$3K
  • Listed on the CA Medicaid exclusion list since June 29, 2021.
  • Medicaid still paid claims in 3 later months, $2,891 in total.
All 141 in CA

Recent enforcement in CA

All releases

Department 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

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