DAPHINE KANIARU, MD
NPI 1902287089, individual, Lemoore, CA, Family Medicine
- Hours beyond a day in 1 month, but with up to 3104 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 33.4 | 2.6 | 1.7 | 2.4 | 3104 | 3 | 99202 99203 99212 99213 99214 | $3K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DAPHINE KANIARU, MD |
| Type | Individual |
| Status | Active |
| NPI issued | June 15, 2015, last updated April 9, 2024 |
| Practice location | 140 C ST, Lemoore, CA 93245-2929, 559-925-6000 |
| Mailing address | PO BOX 580, Lemoore, CA 93245-0580 |
| Specialties | Family Medicine (207Q00000X, primary, license A139320 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $9.8M | 98% | $215 | $182 (top 5% from $488) | 63rd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $88K | 1% | $1.86 | $44 (top 5% from $110) | 6th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $21K | 0% | $7.34 | $60 (top 5% from $133) | 6th percentile | |
| 0012A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose | $13K | 0% | $43 | $35 (top 5% from $67) | too few months to rank | |
| 0011A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose | $12K | 0% | $36 | $29 (top 5% from $65) | too few months to rank | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $8K | 0% | $0.51 | $28 (top 5% from $147) | 10th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $4K | 0% | $0.63 | $44 (top 5% from $70) | 3rd percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $3K | 0% | $1.73 | $67 (top 5% from $121) | 3rd percentile |
In this area
4 providers in Kings County, CA carry an indicator in the public record, with $398K 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 | XIN LING LAO Hanford, CA, ranked 9773 | $873 |
|
| 5 | ELTON TRIPP Hanford, CA, ranked 11541 | $146K |
Recent enforcement in CA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.