MAGDALENA SUNSHINE SERRANO, M.S.W,L.C.S.W.
NPI 1609126655, individual, Santa Maria, CA, Social Worker, Clinical
- Billed more hands-on hours than a day holds in 2 months, peaking at 1.1 hour per day across 4 billing organizations.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 27.4 | 0.2 | 0.1 | 0.2 | 470 | 3 | 90832 90834 G0396 | $458 |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 27.3 | 0.2 | 0.2 | 0.2 | 443 | 4 | 90832 90834 90837 | $475 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MAGDALENA SUNSHINE SERRANO, M.S.W,L.C.S.W. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 18, 2012, last updated June 15, 2015 |
| Practice location | 2801 SANTA MARIA WAY, Santa Maria, CA 93455-2118, 805-938-9200 |
| Mailing address | 2050 S BLOSSER RD, Santa Maria, CA 93458-7310 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license LCS28864 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $11.7M | 77% | $222 | $182 (top 5% from $488) | 66th percentile | |
| 0521 | Medicaid service code | $3.4M | 22% | $21 | $11 (top 5% from $68) | 69th percentile | |
| G0511 | Medicaid service code | $123K | 1% | $15 | $8.90 (top 5% from $98) | 71st percentile | |
| 0900 | Medicaid service code | $11K | 0% | $0.27 | $0.50 (top 5% from $765) | 37th percentile | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | $7K | 0% | $10 | $3.03 (top 5% from $22) | 71st percentile | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | $4K | 0% | $16 | $48 (top 5% from $313) | 36th percentile | |
| G0071 | Medicaid service code | $3K | 0% | $16 | $6.52 (top 5% from $25) | too few months to rank | |
| 90834 | Psychotherapy, 45 minutes | $2K | 0% | $0.07 | $101 (top 5% from $318) | 4th percentile |
In this area
25 providers in Santa Barbara County, CA carry an indicator in the public record, with $22.0M at stake between them. The most common is more hours than a day holds, on 18 of them, followed by part of a provider network on 6.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | COVENANT LIVING WEST Santa Barbara, CA, ranked 2614 | $0 |
|
| 3 | SANTA BARBARA HOME HEALTH INC. Santa Barbara, CA, ranked 3486 | $0 |
|
| 3 | SANTA BARBARA HOSPICE AND PALLIATIVE CARE INC Santa Barbara, CA, ranked 4210 | $0 |
|
| 3 | MISSION PARK HEALTH CENTER LLC Santa Barbara, CA, ranked 5823 | $0 |
|
| 3 | VALLEY OAKS POST ACUTE LLC Santa Maria, CA, ranked 6889 | $0 |
|
| 3 | SANTA MARIA POST ACUTE LLC Santa Maria, CA, ranked 7020 | $0 |
|
| 4 | JUAN GUZMAN Santa Maria, CA, ranked 7332 | $783K |
|
| 4 | SHANE ROSTERMUNDT Santa Maria, CA, ranked 7522 | $3.5M |
|
Recent enforcement in CA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.