JANELE SHAFER, NP

NPI 1871226506, individual, Bakersfield, CA, Nurse Practitioner, Primary Care

Evidence tier

impossible volume with concurrency

Billed more hands-on hours than a day holds in 5 months, peaking at 36.0 hours per day across 6 billing organizations.

score 81 of 100, rank 737, $488K 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
Jan 2024	More hours than a day holds at a conservative unit price	6.9	51.6	34.4	46.3	413	2	99213 99214	$51K
Feb 2024	More hours than a day holds at a conservative unit price	6.6	53.8	35.8	49.5	401	2	99213 99214	$46K
Mar 2024	More hours than a day holds at a conservative unit price	6.3	54.1	36.0	53.2	437	2	99213 99214	$48K
Apr 2024	More hours than a day holds at a conservative unit price	5.1	38.6	25.8	35.1	330	1	99213 99214	$36K
May 2024	More hours than a day holds at a conservative unit price	5.5	41.3	27.5	37.1	359	2	99213 99214	$41K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	JANELE SHAFER, NP
Type	Individual
Status	Active
NPI issued	July 9, 2022, last updated July 18, 2022
Practice location	8325 BRIMHALL RD STE 100, Bakersfield, CA 93312-2245, 661-587-2468
Mailing address	14627 PLUMERIA CT, Bakersfield, CA 93314-8523
Specialties	Nurse Practitioner, Primary Care (363LP2300X, primary, license 95020942 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$363K	37%	$80	$44 (top 5% from $110)	88th percentile
87633	Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 12-25 targets	$236K	24%	$372	$198 (top 5% from $548)	81st percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$235K	24%	$80	$60 (top 5% from $133)	70th percentile
99395	Medicaid service code	$43K	4%	$127	$73 (top 5% from $138)	93rd percentile
92551	Medicaid service code	$15K	2%	$12	$4.76 (top 5% from $18)	90th percentile
99396	Medicaid service code	$15K	1%	$127	$70 (top 5% from $132)	93rd percentile
87426	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	$14K	1%	$32	$32 (top 5% from $49)	52nd percentile
96372	Injection of drug or substance under skin or into muscle	$12K	1%	$24	$12 (top 5% from $49)	87th percentile

In this area

150 providers in Kern County, CA carry an indicator in the public record, with $131.1M at stake between them. The most common is more hours than a day holds, on 131 of them, followed by part of a provider network on 17. 2 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	JANARDHAN GRANDHE MD A MEDICAL CORPORATION Bakersfield, CA, ranked 101	$269K	Listed on the Medicare revocation list since October 14, 2022. Medicaid still paid claims in 17 later months, $268,801 in total.
1	JANARDHAN GRANDHE Bakersfield, CA, ranked 117	$174K	Listed on the CA Medicaid exclusion list and the Medicare revocation list since October 14, 2022. Medicaid still paid claims in 8 later months, $173,578 in total.
2	SAMANTHA ESSENBERG Bakersfield, CA, ranked 741	$386K	Billed more hands-on hours than a day holds in 2 months, peaking at 44.1 hour per day across 4 billing organizations.
2	NAVNEET KAUR Bakersfield, CA, ranked 743	$325K	Billed more hands-on hours than a day holds in 3 months, peaking at 29.4 hours per day across 3 billing organizations.
2	RIPON DEEP KAUR Bakersfield, CA, ranked 747	$235K	Billed more hands-on hours than a day holds in 1 month, peaking at 26.8 hours per day across 3 billing organizations.
3	D A HEALTH CARE SERVICES Bakersfield, CA, ranked 807	$243K	Part of provider network D1-00023, ranked 23 nationally. Medicaid dollars per patient on code G0151 ($703 per patient-month) sit in the top 5% of every provider billing that code.
3	KERN HOSPICE CARE, INC Bakersfield, CA, ranked 1021	$1.3M	Part of provider network D1-00019, ranked 19 nationally.
3	WESTERN HEALTH RESOURCES Bakersfield, CA, ranked 1147	$502K	Part of provider network D1-00071, ranked 71 nationally.

All 150 in CA

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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