Providers
All 16 in CA
BRIAN S. BAAS, PT
NPI 1730127432, individual, Anderson, CA, Specialist
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 5 months, but with up to 838 patients a month across 7 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 97010 ($132 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7755, $1.4M 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.
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2024 | More hours than a day holds at a conservative unit price | 15.6 | 39.3 | 26.2 | 38.1 | 619 | 6 | 97036 97110 97113 97750 | $122K |
| Jul 2024 | More hours than a day holds at a conservative unit price | 21.9 | 51.7 | 34.4 | 44.4 | 838 | 7 | 97036 97110 97113 97750 | $170K |
| Aug 2024 | More hours than a day holds at a conservative unit price | 20.4 | 48.5 | 32.3 | 43.7 | 806 | 6 | 97036 97110 97113 97750 | $159K |
| Sep 2024 | More hours than a day holds at a conservative unit price | 18.9 | 48.4 | 32.3 | 44.7 | 766 | 6 | 97036 97110 97113 97750 | $151K |
| Oct 2024 | More hours than a day holds at a conservative unit price | 19.6 | 43.8 | 29.2 | 37.6 | 804 | 7 | 97036 97110 97113 97750 | $145K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BRIAN S. BAAS, PT |
| Type | Individual |
| Status | Active |
| NPI issued | June 3, 2006, last updated July 13, 2026 |
| Practice location | 2835 CHILDRESS DR, Anderson, CA 96007-3563, 530-378-0998 |
| Mailing address | 126 IRONWOOD LN, Redding, CA 96003-5340 |
| Specialties | Specialist (174400000X, primary, license PT18794 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 | |
|---|---|---|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $1.7M | 42% | $251 | $76 (top 5% from $314) | 92nd percentile | |
| 97010 | Medicaid service code | $594K | 14% | $132 | $7.53 (top 5% from $79) | 97th percentile | |
| 97139 | Medicaid service code | $518K | 12% | $189 | $98 (top 5% from $776) | 82nd percentile | |
| 97750 | Test or measurement for functional capacity, each 15 minutes | $483K | 12% | $89 | $37 (top 5% from $129) | 88th percentile | |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | $342K | 8% | $183 | $150 (top 5% from $406) | 66th percentile | |
| 97039 | Other physical medicine service or procedure | $278K | 7% | $121 | $47 (top 5% from $174) | 85th percentile | |
| 97036 | Application of water therapy using a special tank, each 15 minutes | $219K | 5% | $146 | too few months to rank | ||
| 97035 | Application of ultrasound, each 15 minutes | $1K | 0% | $71 | $21 (top 5% from $107) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | 1,730 | 77 | $35K | $65 | $27 | 2.4x | 2.6x (90th percentile 4.2x) |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,376 | 230 | $28K | $45 | $26 | 1.7x | 2.5x (90th percentile 4.2x) |
| 97530 | Therapy procedure using functional activities | 987 | 235 | $26K | $45 | $34 | 1.3x | 2.3x (90th percentile 3.5x) |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,454 | 268 | $24K | $45 | $22 | 2.1x | 2.9x (90th percentile 4.8x) |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 909 | 184 | $14K | $50 | $20 | 2.5x | 3.2x (90th percentile 5.0x) |
| 97150 | Therapy procedure in a group setting | 505 | 107 | $5K | $40 | $13 | 3.2x | 2.9x (90th percentile 6.5x) |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 749 | 177 | $5K | $30 | $8 | 3.6x | 4.1x (90th percentile 7.2x) |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 54 | 54 | $4K | $125 | $102 | 1.2x | 1.7x (90th percentile 2.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
16 providers in Shasta County, CA carry an indicator in the public record, with $8.7M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by part of a provider network on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MARK RAMUS Redding, CA, ranked 107 | $244K |
|
| 3 | NORTHERN CALIFORNIA REHABILITATION HOSPITAL, LLC Redding, CA, ranked 2241 | $0 |
|
| 3 | SOJOURN HOSPICE & PALLIATIVE CARE - REDDING, LLC. Redding, CA, ranked 3041 | $0 |
|
| 3 | LHCG XXXVIII, LLC Redding, CA, ranked 3156 | $0 |
|
| 3 | DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA Redding, CA, ranked 4220 | $0 |
|
| 4 | ORNELLA ADDONIZIO Redding, CA, ranked 7725 | $1.7M |
|
| 4 | CHRISTOPHER WILLS Redding, CA, ranked 8658 | $2.4M |
|
| 4 | NIRMEET RAI Redding, CA, ranked 9780 | $413 |
|
Recent enforcement in CA
All releasesDepartment 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.