Providers
All 30 in CA
SHIVJITINDER SIDHU, M.D.
NPI 1841549607, individual, Stockton, CA, Internal Medicine, Nephrology
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 11 months, but with up to 333 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99232 ($231 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7897, $696K 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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 24.6 | 23.0 | 15.3 | 23.0 | 333 | 1 | 99214 99223 99232 99233 99306 99308 99309 | $31K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 26.0 | 26.4 | 17.6 | 23.7 | 328 | 1 | 99214 99223 99232 99233 99306 99308 99309 | $36K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 25.4 | 20.9 | 13.9 | 20.5 | 294 | 1 | 99223 99232 99233 99308 99309 99315 | $28K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 25.3 | 23.0 | 15.3 | 20.7 | 234 | 1 | 99214 99215 99223 99232 99233 99308 | $32K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 24.6 | 20.5 | 13.6 | 19.5 | 214 | 1 | 99223 99232 99233 99308 99309 | $27K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 25.6 | 22.8 | 15.2 | 21.4 | 231 | 1 | 99214 99223 99232 99233 99308 99309 | $31K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 27.5 | 26.9 | 17.9 | 24.4 | 259 | 1 | 99214 99215 99223 99232 99233 99308 99309 | $35K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 28.8 | 26.9 | 17.9 | 26.4 | 257 | 1 | 99214 99223 99232 99233 99308 99309 | $36K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 31.3 | 32.8 | 21.9 | 29.5 | 303 | 1 | 99214 99215 99223 99232 99233 99308 99309 | $42K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 25.1 | 29.6 | 19.7 | 27.3 | 271 | 1 | 99214 99223 99232 99233 99306 99308 99309 | $35K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 25.9 | 25.5 | 17.0 | 23.2 | 316 | 1 | 99214 99223 99232 99233 99308 99309 | $31K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHIVJITINDER SIDHU, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | September 6, 2012, last updated September 28, 2023 |
| Practice location | 1805 N CALIFORNIA ST STE 303, Stockton, CA 95204-6033, 209-888-4340 |
| Specialties | Internal Medicine, Nephrology (207RN0300X, primary, license A147286 CA) Internal Medicine (207R00000X, license A147286 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 | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $385K | 37% | $231 | $67 (top 5% from $174) | 98th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $377K | 36% | $100 | $96 (top 5% from $249) | 53rd percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $117K | 11% | $55 | $81 (top 5% from $170) | 21st percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $51K | 5% | $47 | $21 (top 5% from $84) | 85th percentile | |
| 99291 | Critical care, first 30-74 minutes | $36K | 3% | $313 | $175 (top 5% from $536) | 80th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $23K | 2% | $39 | $14 (top 5% from $58) | 90th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $18K | 2% | $39 | $49 (top 5% from $101) | 32nd percentile | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $17K | 2% | $46 | $37 (top 5% from $100) | 64th percentile |
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 |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 2,317 | 561 | $215K | $220 | $117 | 1.9x | 2.6x (90th percentile 4.7x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,645 | 304 | $103K | $150 | $78 | 1.9x | 2.6x (90th percentile 4.3x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 501 | 425 | $68K | $420 | $170 | 2.5x | 3.0x (90th percentile 5.6x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 597 | 121 | $35K | $137 | $74 | 1.8x | 2.0x (90th percentile 3.4x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 380 | 118 | $32K | $150 | $107 | 1.4x | 2.0x (90th percentile 3.3x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 276 | 119 | $26K | $230 | $130 | 1.8x | 2.3x (90th percentile 3.8x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 102 | 87 | $14K | $220 | $180 | 1.2x | 1.9x (90th percentile 3.1x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 90 | 61 | $7K | $150 | $93 | 1.6x | 2.2x (90th percentile 3.8x) |
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
30 providers in San Joaquin County, CA carry an indicator in the public record, with $75.2M at stake between them. The most common is more hours than a day holds, on 19 of them, followed by part of a provider network on 11.
| tier | provider | at stake | why |
|---|---|---|---|
| 2 | SOMA KRISHNAMOORTHI Escalon, CA, ranked 709 | $210K |
|
| 3 | WESTERN HEALTH RESOURCES Lodi, CA, ranked 1292 | $175K |
|
| 3 | PROHEALTH HOME CARE, INC Stockton, CA, ranked 1389 | $71K |
|
| 3 | AMERIPRIME HEALTHCARE INC. Tracy, CA, ranked 1481 | $24K |
|
| 3 | DEERGRASS HEALTHCARE, INC. Lodi, CA, ranked 1804 | $0 |
|
| 3 | STOCKTON HEALTH CARE SERVICES, INC. Stockton, CA, ranked 2410 | $0 |
|
| 3 | NOBLE CARE CENTER LLC Stockton, CA, ranked 3556 | $0 |
|
| 3 | PROHEALTH HOME CARE, INC Stockton, CA, ranked 3928 | $0 |
|
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.