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Michael Catausan, MD

Family Practice · Danville

NPI 1932326071

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Offices
11

Offices

11 locations · Community Wellness Medical Associates A PC · 3 clinicians in this group

Looking this up.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Catausan’s office at (888) 690-3696 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$236,559

Medicare paid this office $236,559 for 814 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes593$70,368$37
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days300$44,593$38
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes399$38,890$30
Transitional care management services for problem of at least moderate complexity160$25,418$159
New patient visit (45+ min)243$25,021$103
See all 11 services
Every Original Medicare service billed
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes593$70,368$37
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days300$44,593$38
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes399$38,890$30
Transitional care management services for problem of at least moderate complexity160$25,418$159
New patient visit (45+ min)243$25,021$103
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment501$8,062$16
Transitional care management services for problem of high complexity37$7,944$215
New patient visit (60+ min)43$6,084$141
Return visit (30+ min)53$4,151$75
Office for the evaluation and management of established patient that may not require presence of healthcare professional233$3,667$11
Short return visit (20+ min)17$1,537$51

Who their Medicare patients are

814 Original Medicare patients in 2024. Average age 71 · Under 65 16% · 85 and older 8% · Women 59% · Also on Medicaid 26% · Health risk score 2.43. Sicker patients than 9 in 10 peers; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75% · Coronary heart disease 63% · Diabetes 60% · Heart failure 56% · Chronic kidney disease 50% · COPD 45% · Atrial fibrillation 38% · Depression 36% · Stroke 19% · Cancer 18% · Dementia 11%.

The office billed $778,003, Medicare allowed $303,220 and paid $236,559; for 5,772 services of 15 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20248145,772712.43$778,003$236,559
20232851,685712.37$252,870$81,069
202248107701.55$15,350$5,688
20186676571.83$72,894$5,700
2017122147541.79$131,523$12,107
2016136157541.70$123,706$11,331
2015175201601.79$180,308$18,517
2014150165601.32$130,383$14,388
2013252286611.70$173,211$25,818

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 8 services

Original Medicare services billed in 2023
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes181$23,748$37
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days116$15,984$36
Transitional care management services for problem of high complexity65$13,762$209
Transitional care management services for problem of at least moderate complexity55$8,735$159
New patient visit (60+ min)47$6,515$139
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes93$5,153$31
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment223$3,186$14
New patient visit (45+ min)28$2,986$107

2022: 2 services

Original Medicare services billed in 2022
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes15$1,445$45
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment26$361$14

2018: 3 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making15$2,104$131
Emergency department visit with moderate level of medical decision making23$2,017$84
Emergency department visit with low level of medical decision making26$1,283$49

2017: 3 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making35$5,072$133
Emergency department visit with moderate level of medical decision making42$3,940$88
Emergency department visit with low level of medical decision making52$2,600$47

2016: 3 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making32$4,089$120
Emergency department visit with moderate level of medical decision making44$3,834$83
Emergency department visit with low level of medical decision making65$2,957$44

2015: 3 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making78$11,190$132
Emergency department visit with moderate level of medical decision making51$4,564$85
Emergency department visit with low level of medical decision making50$2,323$44

2014: 3 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making51$6,699$129
Emergency department visit with moderate level of medical decision making57$5,063$86
Emergency department visit with low level of medical decision making46$2,131$45

2013: 3 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making111$13,991$121
Emergency department visit with moderate level of medical decision making93$7,762$80
Emergency department visit with low level of medical decision making47$2,127$44

Medicaid work

$75,069 in 2024

Medicaid paid $75,069 for 3,623 billed services this clinician did in 2024, up to 171 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutes1,648$31,803
Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days766$18,168
Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; each additional 20 minutes (List separately in addition to code for primary procedure)673$14,466
New patient visit (45+ min)135$4,706
Return visit (30+ min)92$4,155
OFF/OP EST MAY X REQ PHY/QHP95$939
Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment214$832
Medicaid work by year
20243,6237171$75,069
20236,1408228$140,427
2022245429$7,898
202137223$1,200
202097336$4,201
20193,5648970$50,801
20188,81018906$585,082
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutes2,633$52,014
Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days1,475$34,629
New patient visit (45+ min)529$27,287
New patient visit (60+ min)185$11,850
Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; each additional 20 minutes (List separately in addition to code for primary procedure)444$9,316
Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment833$4,294
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])21$869
Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge20$167

2022

Largest Medicaid services in 2022
Short return visit (20+ min)140$5,794
New patient visit (30+ min)44$1,964
Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutes25$78
Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment36$62

2021

Largest Medicaid services in 2021
New patient visit (30+ min)23$880
Short return visit (20+ min)14$320

2020

Largest Medicaid services in 2020
New patient visit (30+ min)70$2,878
OFFICE/OUTPATIENT VISIT NEW15$735
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES12$588

2019

Largest Medicaid services in 2019
Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use974$23,088
Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)975$14,091
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use711$11,637
Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use36$555
Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use34$538
Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use68$358
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)49$310
Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered717$225

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT LOW MDM1,262$193,874
URINE PREGNANCY TEST205$74,477
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy251$73,088
Service241$59,036
EMERGENCY DEPT VISIT MOD MDM274$53,064
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)92$28,603
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM94$19,512
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza51$17,472
Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)59$14,966
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use2,601$14,029
COLLECTION VENOUS BLOOD VENIPUNCTURE96$10,125
Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use1,166$9,399

Money from drug and device companies

$30 in 2019

A payment is not proof that care is biased.

Payments by company
AcellNone$30
1 payment
  • Meals · 2019-11-13 · $30
See the published payment
Every published payment
AcellMeals · 2019-11-13None$30

Professional record

NPI
1932326071
Licence
KS 04-32543, KS 6623, MO 2009032076
Trained
University of Missouri, Kansas City, School of Medicine, 2006
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
4050 Pennsylvania Ave, Ste 115 #96, Kansas City, MO, 64111
NPI first listed
2007-04-19
NPI last updated
2025-08-14
NPI record certified
2025-08-14

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 6601 Rockhill Rd, Kansas City, MO, 64131 · 533 N Mur Len Rd Ste B, Olathe, KS, 66062