CESAR ALVARO RODRIGUEZ, MD

NPI 1538380928, individual, La Puente, CA, General Practice

Evidence tier

documented action, then payment

Listed on the CA Medicaid exclusion list since September 16, 2020.
Medicaid still paid claims in 7 later months, $52,791 in total.

score 95 of 100, rank 185, $53K at stake

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
CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026)	Exact NPI, name verified	Sep 16, 2020	still open	7	Oct 2020	Apr 2021	$53K	$42K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	CESAR ALVARO RODRIGUEZ, MD
Type	Individual, sole proprietor
Status	Active
NPI issued	May 1, 2007, last updated July 21, 2022
Practice location	1840 N HACIENDA BLVD STE 3, La Puente, CA 91744-1143, 626-350-7087
Specialties	General Practice (208D00000X, primary, license A066159 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
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	$71K	64%	$90	$75 (top 5% from $185)	73rd percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$15K	14%	$6.50	$44 (top 5% from $110)	9th percentile
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	$13K	12%	$26	$20 (top 5% from $39)	75th percentile
G2024	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source	$5K	5%	$30	$19 (top 5% from $72)	too few months to rank
86769	Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	$4K	3%	$31	$32 (top 5% from $63)	too few months to rank
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	$2K	2%	$10	$28 (top 5% from $147)	23rd percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$411	0%	$3.51	$60 (top 5% from $133)	5th percentile
99396	Medicaid service code	$90	0%	$2.25	$70 (top 5% from $132)	too few months to rank

In this area

399 providers in Los Angeles County, CA carry an indicator in the public record, with $129.6M at stake between them. The most common is part of a provider network, on 347 of them, followed by paid after a public list action on 36. 52 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	BURBANK PREFERRED PROVIDER MEDICAL GROUP, INC Burbank, CA, ranked 17	$67K	Listed on the Medicare revocation list since October 21, 2020. Medicaid still paid claims in 24 later months, $67,101 in total. and 1 more
1	GOLDEN STAR LABS LLC Los Angeles, CA, ranked 32	$41.0M	Adjudicated (pleaded guilty) per a Department of Justice release dated June 24, 2026. Medicaid paid $41,015,276 in the last 12 observed months.
1	MATIAS CLINICAL LABORATORY INC Baldwin Park, CA, ranked 43	$3.8M	Listed on the Medicare revocation list since August 31, 2018. Medicaid still paid claims in 44 later months, $3,846,471 in total. and 1 more
1	HEALTHSMART PACIFIC INC Long Beach, CA, ranked 52	$1.6M	Listed on the OIG exclusion list since April 20, 2021. Medicaid still paid claims in 34 later months, $1,639,221 in total.
1	LINDA WARREN-WATSON Lancaster, CA, ranked 71	$828K	Listed on the CA Medicaid exclusion list since October 31, 2020. Medicaid still paid claims in 16 later months, $828,250 in total.
1	SOHRAB MOSHIRI Woodland Hills, CA, ranked 82	$483K	Listed on the WA Medicaid exclusion list since January 9, 2009. Medicaid still paid claims in 83 later months, $482,999 in total.
1	QUALITY FAMILY HOSPICE CARE INC Tarzana, CA, ranked 92	$375K	Listed on the CA Medicaid exclusion list and the Medicare revocation list since July 18, 2024. Medicaid still paid claims in 4 later months, $375,479 in total.
1	MARATHON HOSPICE CARE INC. North Hollywood, CA, ranked 95	$368K	Listed on the Medicare revocation list since July 6, 2024. Medicaid still paid claims in 4 later months, $367,866 in total.

All 399 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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