Providers
ELTON TRIPP
NPI 1811074677, individual, Hanford, CA, Physician Assistant
5
Evidence tier
informational
score 30 of 100, rank 11541, $146K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELTON TRIPP |
| Type | Individual |
| Status | Active |
| NPI issued | November 1, 2006, last updated September 4, 2014 |
| Practice location | 1025 N DOUTY ST, Hanford, CA 93230-3722, 559-583-2254 |
| Mailing address | 1479 W LACEY BLVD, Hanford, CA 93230-5906 |
| Specialties | Physician Assistant (363A00000X, primary, license PA18501 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 | $1.5M | 81% | $172 | $182 (top 5% from $488) | 46th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $230K | 13% | $30 | $44 (top 5% from $110) | 27th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $64K | 4% | $26 | $60 (top 5% from $133) | 13th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $56K | 3% | $14 | $28 (top 5% from $147) | 27th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $94 | 0% | $3.77 | $95 (top 5% from $171) | too few months to rank | |
| 99000 | Medicaid service code | $4 | 0% | $0.05 | $0.29 (top 5% from $11) | 39th percentile | |
| G8752 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.02) | 0th percentile | |
| 1101F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.00) | 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 |
|---|---|---|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 56 | 56 | $8K | $790 | $170 | 4.6x | 5.3x (90th percentile 24.2x) |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 43 | 43 | $6K | $1K | $172 | 7.6x | 5.3x (90th percentile 24.5x) |
| 99284 | Emergency department visit with moderate level of medical decision making | 66 | 65 | $5K | $832 | $99 | 8.4x | 6.7x (90th percentile 11.3x) |
| 99285 | Emergency department visit with high level of medical decision making | 39 | 39 | $4K | $1K | $144 | 8.5x | 6.9x (90th percentile 11.7x) |
| 27335 | Incision of knee joint with removal of cartilage of front and back of knee | 59 | 59 | $2K | $760 | $52 | 14.7x | 9.9x (90th percentile 23.3x) |
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
4 providers in Kings County, CA carry an indicator in the public record, with $255K at stake between them. The most common is part of a provider network, on 2 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | WESTERN HEALTH RESOURCES Hanford, CA, ranked 1255 | $251K |
|
| 3 | WESTERN HEALTH RESOURCES Hanford, CA, ranked 1907 | $0 |
|
| 4 | DAPHINE KANIARU Lemoore, CA, ranked 9763 | $3K |
|
| 4 | XIN LING LAO Hanford, CA, ranked 9773 | $873 |
|
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.