XIN LING LAO, M.D.
NPI 1992005102, individual, Hanford, CA, Family Medicine
- Hours beyond a day in 2 months, but with up to 973 patients a month across 3 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 |
|---|---|---|---|---|---|---|---|---|---|
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 29.1 | 0.5 | 0.3 | 0.5 | 973 | 1 | 99213 99214 | $546 |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 27.8 | 0.3 | 0.2 | 0.3 | 948 | 2 | 99203 99213 | $326 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | XIN LING LAO, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | October 22, 2010, last updated December 4, 2013 |
| Practice location | 1025 N DOUTY ST, Hanford, CA 93230-3722, 559-583-2254 |
| Specialties | Student in an Organized Health Care Education/Training Program (390200000X) Family Medicine (207Q00000X, primary, license A116027 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 | $8.7M | 99% | $239 | $182 (top 5% from $488) | 71st percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $44K | 0% | $1.10 | $44 (top 5% from $110) | 5th percentile | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a t | $43K | 0% | $73 | $20 (top 5% from $124) | 89th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $3K | 0% | $1.38 | $60 (top 5% from $133) | 3rd percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $2K | 0% | $1.20 | $67 (top 5% from $121) | 3rd percentile | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | $766 | 0% | $1.90 | $1.18 (top 5% from $5.70) | 77th percentile | |
| 90688 | Influenza vaccine, quadrivalent, 0.5 ml dosage | $528 | 0% | $0.67 | $5.67 (top 5% from $19) | 33rd percentile | |
| 99396 | Medicaid service code | $263 | 0% | $0.24 | $70 (top 5% from $132) | 15th percentile |
In this area
4 providers in Kings County, CA carry an indicator in the public record, with $401K 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 |
|
| 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.