Providers
All 399 in CA
JOHN C DOZIER, M.D.
NPI 1750398962, individual, Susanville, CA, Family Medicine
1
Evidence tier
documented action, then payment
- Listed on the CA Medicaid exclusion list since June 19, 2020.
- Medicaid still paid claims in 1 later month, $4,992 in total.
score 94 of 100, rank 325, $5K 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 | Jun 19, 2020 | still open | 1 | Jul 2020 | Jul 2020 | $5K | $222K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JOHN C DOZIER, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | August 1, 2006, last updated December 10, 2015 |
| Practice location | 1850 SPRING RIDGE DR, Susanville, CA 96130-6100, 530-251-5000 |
| Specialties | Family Medicine (207Q00000X, primary, license G46031 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 | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $830K | 99% | $152 | $182 (top 5% from $488) | 37th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $6K | 1% | $2.55 | $44 (top 5% from $110) | 7th percentile | |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $1K | 0% | $14 | $2.30 (top 5% from $20) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $881 | 0% | $0.98 | $60 (top 5% from $133) | 3rd percentile | |
| 99394 | Medicaid service code | $439 | 0% | $9.14 | $83 (top 5% from $128) | too few months to rank | |
| Q3014 | Telehealth originating site facility fee | $311 | 0% | $24 | $21 (top 5% from $84) | too few months to rank | |
| 99393 | Medicaid service code | $307 | 0% | $5.12 | $78 (top 5% from $121) | too few months to rank | |
| 92551 | Medicaid service code | $216 | 0% | $1.57 | $4.76 (top 5% from $18) | too few months to rank |
In this area
399 providers in CA carry an indicator in the public record, with $195.4M at stake between them. The most common is part of a provider network, on 287 of them, followed by paid after a public list action on 84. 103 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | BURBANK PREFERRED PROVIDER MEDICAL GROUP, INC Burbank, CA, ranked 17 | $67K |
|
| 1 | MAGALY VELASQUEZ Rancho Cucamonga, CA, ranked 18 | $60K |
|
| 1 | BRENTON WYNN National City, CA, ranked 19 | $52K |
|
| 1 | PHLEBXPRESS Temecula, CA, ranked 20 | $45K |
|
| 1 | ROY SCHINDELHEIM King City, CA, ranked 26 | $11K |
|
| 1 | GOLDEN STAR LABS LLC Los Angeles, CA, ranked 32 | $41.0M |
|
| 1 | MATIAS CLINICAL LABORATORY INC Baldwin Park, CA, ranked 43 | $3.8M |
|
| 1 | HEALTHSMART PACIFIC INC Long Beach, CA, ranked 52 | $1.6M |
|
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.