DAVID BETAT, M.D.

NPI 1659387512, individual, Lakeport, CA, Family Medicine

Evidence tier

documented action, then payment

Listed on the CA Medicaid exclusion list since May 11, 2022.
Medicaid still paid claims in 4 later months, $63 in total.

score 92 of 100, rank 451, $63 at stake

Public list actions

Medicare revocation effective December 2, 2023, barred from re-enrolling until December 1, 2028

424.535(a)(13) prescribing authority, Practitioner - Family Practice, 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.

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	May 11, 2022	still open	4	Jun 2022	Sep 2022	$63	$4K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	DAVID BETAT, M.D.
Type	Individual, sole proprietor
Status	Active
NPI issued	July 31, 2006, last updated February 27, 2015
Practice location	801 11TH ST, Lakeport, CA 95453-4100, 707-413-3259
Mailing address	2255 CEDAR HILL WAY, Lakeport, CA 95453-9762
Specialties	Family Medicine (207Q00000X, primary, license G57755 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
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	$12K	89%	$5.35	$14 (top 5% from $58)	16th percentile
0011A	Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose	$1K	8%	$17	$29 (top 5% from $65)	too few months to rank
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	$328	2%	$3.10	$22 (top 5% from $71)	4th percentile

In this area

4 providers in Lake County, CA carry an indicator in the public record, with $45K at stake between them. The most common is part of a provider network, on 4 of them.

tier	provider	at stake	why
3	VINDRA INC Clearlake, CA, ranked 824	$45K	Part of provider network D1-00087, ranked 87 nationally. Medicaid dollars per patient on code 99304 ($477 per patient-month) sit in the top 5% of every provider billing that code.
3	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Lakeport, CA, ranked 2762	$0	Part of provider network D1-00071, ranked 71 nationally.
3	WINDFLOWER HOLDINGS, LLC Lakeport, CA, ranked 3715	$0	Part of provider network D1-00041, ranked 41 nationally.
3	WESTERN HEALTH RESOURCES Lower Lake, CA, ranked 5279	$0	Part of provider network D1-00071, ranked 71 nationally.

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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