Providers

BABAR IQBAL, MD

NPI 1528139722, individual, Riverside, CA, Anesthesiology

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since June 10, 2020.
  • Medicaid still paid claims in 3 later months, $12,584 in total.
score 94 of 100, rank 268, $13K at stake

Public list actions

Medicare revocation effective June 10, 2020, barred from re-enrolling until June 10, 2030
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Anesthesiology, CA
OIG exclusion December 20, 2020 under section 1128a3
Physician (MD, DO), Anesthesiology, Irvine, 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
Medicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedJun 10, 2020Jun 10, 20303Jul 2020Sep 2020$13K$109K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameBABAR IQBAL, MD (also BABAR IQBAL)
TypeIndividual
StatusActive
NPI issuedNovember 11, 2006, last updated September 10, 2018
Practice location4234 RIVERWALK PKWY, SUITE 120, Riverside, CA 92505-3368, 951-729-9822
Mailing addressPO BOX 8458, Riverside, CA 92515-8458
Specialties
Anesthesiology (207L00000X, primary, license 39224 KY)

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
64493Injection of lower or sacral spine facet joint using imaging guidance, single level$91K25%$195$125 (top 5% from $689)70th percentile
64494Injection of lower or sacral spine facet joint using imaging guidance, second level$45K12%$99$48 (top 5% from $205)88th percentile
64495Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level$43K12%$103$47 (top 5% from $120)91st percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$42K12%$25$44 (top 5% from $110)21st percentile
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level$40K11%$167$150 (top 5% from $603)56th percentile
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint$35K10%$242$239 (top 5% from $808)51st percentile
64484Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level$30K8%$142$59 (top 5% from $193)86th percentile
64636Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint$15K4%$103$101 (top 5% from $903)51st percentile

In this area

178 providers in Riverside County, CA carry an indicator in the public record, with $225.2M at stake between them. The most common is more hours than a day holds, on 113 of them, followed by part of a provider network on 58. 4 are tier 1: documented action, then payment.

tierproviderat stakewhy
1PHLEBXPRESS
Temecula, CA, ranked 20
$45K
  • Listed on the Medicare revocation list since January 20, 2023.
  • Medicaid still paid claims in 14 later months, $45,245 in total.
  • and 1 more
1BABAR IQBAL MD INC
Riverside, CA, ranked 267
$13K
  • Listed on the Medicare revocation list since June 10, 2020.
  • Medicaid still paid claims in 3 later months, $12,584 in total.
1FERNANDO PALACIOS
Wildomar, CA, ranked 334
$4K
  • Listed on the CA Medicaid exclusion list and the Medicare revocation list since June 27, 2024.
  • Medicaid still paid claims in 4 later months, $4,063 in total.
1BORREGO COMMUNITY HEALTH FOUNDATION
Lake Elsinore, CA, ranked 495
$0
  • Adjudicated (sentenced, charged) per a state attorney general release dated July 22, 2024.
  • No Medicaid payments in the last 12 observed months.
3HIGH CARE HOSPICE, INC.
Riverside, CA, ranked 923
$4.9M
  • Part of provider network D1-00031, ranked 31 nationally.
3AGAPE GROUP, INC
Corona, CA, ranked 946
$2.8M
  • Part of provider network D1-00029, ranked 29 nationally.
3RIVERSIDE CARE, INC.
Riverside, CA, ranked 1070
$844K
  • Part of provider network D1-00041, ranked 41 nationally.
3CARE DIMENSIONS OF THE DESERT, LLC
Palm Desert, CA, ranked 1167
$450K
  • Part of provider network D1-00092, ranked 92 nationally.
All 178 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

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.

Ask this case

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