RASOUL M. MONTAZERI, D.O.

NPI 1992068191, individual, Irvine, CA, Preventive Medicine, Occupational Medicine

Evidence tier

documented action, then payment

Listed on the CA Medicaid exclusion list since October 11, 2019.
Medicaid still paid claims in 14 later months, $34,645 in total.

score 95 of 100, rank 213, $35K at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026)	Exact NPI, name verified	Oct 11, 2019	still open	14	Nov 2019	Mar 2022	$35K	$3K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	RASOUL M. MONTAZERI, D.O.
Type	Individual
Status	Active
NPI issued	June 21, 2012, last updated June 30, 2022
Practice location	22 ODYSSEY STE 240, Irvine, CA 92618-7700, 949-408-1000
Specialties	Preventive Medicine, Obesity Medicine (2083B0002X, license 20A13353 CA) General Practice (208D00000X, license 20A13353 CA) Student in an Organized Health Care Education/Training Program (390200000X) Preventive Medicine, Occupational Medicine (2083X0100X, primary, license 20A13353 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
99202	New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more	$25K	59%	$23	$45 (top 5% from $138)	18th percentile
87426	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	$5K	11%	$19	$32 (top 5% from $49)	too few months to rank
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$4K	10%	$14	$44 (top 5% from $110)	13th percentile
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$2K	5%	$22	$67 (top 5% from $121)	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	$2K	5%	$15	$28 (top 5% from $147)	too few months to rank
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$1K	4%	$16	$60 (top 5% from $133)	9th percentile
99497	Advance care planning, first 30 minutes	$1K	3%	$54	$11 (top 5% from $62)	too few months to rank
99211	Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	$799	2%	$9.08	$16 (top 5% from $128)	too few months to rank

In this area

237 providers in Orange County, CA carry an indicator in the public record, with $177.0M at stake between them. The most common is more hours than a day holds, on 117 of them, followed by part of a provider network on 111. 6 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	NANCY DAVIS Orange, CA, ranked 136	$125K	Listed on the CA Medicaid exclusion list since January 20, 2016. Medicaid still paid claims in 4 later months, $125,111 in total.
1	KEVIN DO Tustin, CA, ranked 204	$41K	Listed on the CA Medicaid exclusion list since March 7, 2003. Medicaid still paid claims in 22 later months, $41,061 in total.
1	BRUCE HAGADORN Irvine, CA, ranked 293	$9K	Listed on the CA Medicaid exclusion list since November 16, 2017. Medicaid still paid claims in 2 later months, $9,268 in total.
1	SAMPATH SURYADEVARA Anaheim, CA, ranked 349	$3K	Listed on the CA Medicaid exclusion list since March 29, 2021. Medicaid still paid claims in 3 later months, $2,923 in total.
1	DUK KIM Huntington Beach, CA, ranked 391	$1K	Listed on the CA Medicaid exclusion list since September 22, 2020. Medicaid still paid claims in 1 later month, $1,103 in total.
1	PAUL JOHNSON Garden Grove, CA, ranked 412	$514	Listed on the CA Medicaid exclusion list since July 1, 2020. Medicaid still paid claims in 1 later month, $514 in total.
3	LAGUNA HOME HEALTH SERVICES, LLC Mission Viejo, CA, ranked 924	$4.7M	Part of provider network D1-00107, ranked 107 nationally.
3	CARE DIMENSIONS LLC Huntington Beach, CA, ranked 1010	$1.4M	Part of provider network D1-00092, ranked 92 nationally.

All 237 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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