Providers

DAVID GORCHOFF, M.D.

NPI 1720098429, individual, Napa, CA, Family Medicine

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 1 month, but with up to 1549 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
score 49 of 100, rank 9762, $4K at stake

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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Jan 2020More hours than a day holds, even counting one unit per claim line24.22.81.92.61247399202 99203 99211 99212 99213 99214$4K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameDAVID GORCHOFF, M.D.
TypeIndividual, sole proprietor
StatusActive
NPI issuedAugust 8, 2006, last updated October 29, 2025
Practice location1141 PEAR TREE LN STE 100, Napa, CA 94558, 707-254-1770
Mailing address2120 HIDDEN VALLEY DR, Santa Rosa, CA 95404-2529
Specialties
Family Medicine (207Q00000X, license 036.176979 IL)
Family Medicine (207Q00000X, primary, license G58183 CA)
Family Medicine (207Q00000X, license MD-13166 HI)

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
T1015Medicaid service code$5.7M94%$174$182 (top 5% from $488)46th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$97K2%$5.82$44 (top 5% from $110)9th percentile
J7307Medicaid service code$35K1%$731$827 (top 5% from $1K)too few months to rank
59425Medicaid service code$24K0%$78$90 (top 5% from $160)35th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$15K0%$15$60 (top 5% from $133)8th percentile
H1003Medicaid service code$13K0%$19$9.14 (top 5% from $37)82nd percentile
90670Pneumococcal vaccine, 13-valent$13K0%$34$0.54 (top 5% from $23)98th percentile
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional$12K0%$9.45$16 (top 5% from $128)28th percentile

In this area

6 providers in Napa County, CA carry an indicator in the public record, with $1.3M at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 2.

tierproviderat stakewhy
3PETUNIA HOLDINGS, LLC
Napa, CA, ranked 1491
$21K
  • Part of provider network D1-00041, ranked 41 nationally.
3VETERANS HOME OF CALIFORNIA
Yountville, CA, ranked 2988
$0
  • Part of provider network D1-00138, ranked 138 nationally.
3DANNY'S HOME HEALTH CARE INC.
Napa, CA, ranked 3037
$0
  • Part of provider network D1-00045, ranked 45 nationally.
3NAPAIDENCE OPCO, LLC
Napa, CA, ranked 5022
$0
  • Part of provider network D1-00041, ranked 41 nationally.
4AMY MONTANEZ
Napa, CA, ranked 8935
$1.2M
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
4TERESA SHINDER
Saint Helena, CA, ranked 9597
$72K
  • Hours beyond a day in 8 months, but with up to 1729 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.

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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