Active NPI 1235140278 Individual Practitioner Male Practitioner

Dr. Randall Elton Caviness , MD

General Practice • Chico, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Randall Caviness, MD is a certified General Practice practicing in Chico, CA. With approximately 36 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1990, Dr. Caviness delivers high-quality medical care to the local community at 1279 E 1ST AVE STE A.

Dr. Caviness accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1279 E 1st Ave Ste A

Chico, CA 959261542

Telephone 5308919531

Fax 5308919533

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Chico, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +6.3 yrs vs City Avg

City Avg: 29.7 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

17 Specialists

Practicing in Chico, CA (2300 Statewide)

Telehealth Adoption Rate

23.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caviness (36 Years) 36 Yrs

Chico Specialty Average (29.7 Years) 29.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	822	91	$125.00	$63.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	655	296	$296.09	$130.19
99213 Established patient office or other outpatient visit, typically 15 minutes	571	283	$200.00	$92.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	248	248	$325.00	$131.79
90653 Vaccine for influenza for injection into muscle	119	119	$209.00	$81.82
G0008 Administration of influenza virus vaccine	119	119	$50.00	$32.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	50	$400.00	$182.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	11	$50.00	$14.75
69210 Removal of impacted ear wax	31	28	$125.00	$48.51
99496 Transitional care management services for problem of high complexity	28	27	$650.00	$277.58
99495 Transitional care management services for problem of at least moderate complexity	27	25	$450.00	$211.61
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	19	$150.00	$54.83
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$475.00	$166.87
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$50.00	$14.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$350.00	$167.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	687	294	$300.00	$131.06
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	674	86	$125.00	$63.72
99213 Established patient office or other outpatient visit, typically 15 minutes	496	287	$200.00	$91.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$325.00	$132.60
G0008 Administration of influenza virus vaccine	109	109	$50.00	$31.57
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	108	108	$80.00	$75.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	20	$50.00	$14.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	14	$15.00	$1.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	22	$400.00	$183.34
99496 Transitional care management services for problem of high complexity	26	23	$650.00	$285.19
69210 Removal of impacted ear wax	23	20	$125.00	$48.79
93000 Routine ekg using at least 12 leads including interpretation and report	22	19	$50.00	$14.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	20	$150.00	$54.03
99495 Transitional care management services for problem of at least moderate complexity	16	14	$450.00	$195.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$475.00	$168.83
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	11	11	$125.00	$45.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	914	88	$125.00	$65.94
99213 Established patient office or other outpatient visit, typically 15 minutes	636	305	$200.00	$84.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	583	271	$300.00	$132.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$325.00	$137.50
G0008 Administration of influenza virus vaccine	166	165	$50.00	$31.22
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	162	161	$79.97	$70.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	11	$50.00	$15.12
69210 Removal of impacted ear wax	36	31	$125.00	$49.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	27	$400.00	$184.39
99496 Transitional care management services for problem of high complexity	25	24	$650.00	$280.66
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$50.00	$14.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	20	$150.00	$55.57
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	14	14	$125.00	$45.84
99495 Transitional care management services for problem of at least moderate complexity	13	12	$450.00	$184.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$475.00	$175.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	772	362	$153.19	$89.77
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	766	92	$125.00	$42.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	583	261	$223.16	$135.47
G0444 Annual depression screening, 5 to 15 minutes	199	199	$29.21	$19.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	191	191	$238.98	$139.66
90653 Vaccine for influenza for injection into muscle	175	174	$75.00	$59.53
G0008 Administration of influenza virus vaccine	169	168	$50.00	$18.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	105	22	$20.24	$1.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	21	$39.84	$15.01
69210 Removal of impacted ear wax	48	41	$105.21	$48.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	35	$300.00	$189.03
99496 Transitional care management services for problem of high complexity	36	31	$510.67	$286.77
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$320.29	$176.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	22	$104.35	$55.75
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$62.00	$15.59
17000 Destruction of skin growth	14	12	$170.00	$68.34
99495 Transitional care management services for problem of at least moderate complexity	14	14	$405.43	$198.18
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	14	14	$100.00	$46.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$405.77	$177.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,017	393	$95.00	$69.59
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	614	100	$110.00	$43.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	578	260	$145.00	$111.07
90653 Vaccine for influenza for injection into muscle	227	224	$65.00	$59.48
G0008 Administration of influenza virus vaccine	225	222	$30.00	$17.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$164.56	$121.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	89	19	$24.16	$1.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	17	$30.00	$15.06
99496 Transitional care management services for problem of high complexity	45	42	$422.00	$237.11
69210 Removal of impacted ear wax	35	31	$75.00	$49.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	22	$225.00	$151.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	23	$80.00	$56.17
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$190.00	$179.39
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$80.00	$17.95
G0444 Annual depression screening, 5 to 15 minutes	16	16	$29.00	$18.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$225.00	$169.65
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	15	15	$55.00	$45.82
90756 Vaccine for influenza for injection into muscle	14	14	$35.00	$27.70
90670 Pneumococcal vaccine for injection into muscle	12	11	$230.00	$210.33
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$295.00	$175.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	974	98	$110.00	$42.73
99213 Established patient office or other outpatient visit, typically 15 minutes	866	351	$95.00	$76.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	811	314	$145.00	$112.17
G0008 Administration of influenza virus vaccine	200	198	$30.00	$17.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$165.00	$119.98
90653 Vaccine for influenza for injection into muscle	119	119	$65.00	$58.34
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	87	87	$34.77	$27.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	78	58	$225.00	$149.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	24	$30.00	$17.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	14	$25.00	$1.57
69210 Removal of impacted ear wax	47	41	$75.00	$48.74
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	37	37	$190.00	$176.42
99496 Transitional care management services for problem of high complexity	27	23	$422.00	$239.34
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$80.00	$17.63
G0009 Administration of pneumococcal vaccine	21	21	$30.00	$17.33
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	20	20	$70.00	$40.04
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	16	15	$352.00	$232.72
99495 Transitional care management services for problem of at least moderate complexity	16	16	$294.00	$169.84
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	15	15	$55.00	$45.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$124.00	$110.87
90670 Pneumococcal vaccine for injection into muscle	12	12	$230.00	$208.52
G0444 Annual depression screening, 5 to 15 minutes	11	11	$29.00	$18.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	940	383	$95.00	$75.05
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	847	87	$110.00	$43.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	689	285	$145.00	$110.88
G0008 Administration of influenza virus vaccine	221	220	$30.00	$21.37
90653 Vaccine for influenza for injection into muscle	196	195	$65.00	$53.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	129	26	$25.00	$1.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	101	34	$30.00	$21.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	87	87	$190.00	$177.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	86	60	$225.00	$149.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$165.00	$120.76
G0009 Administration of pneumococcal vaccine	57	57	$30.00	$21.47
J0696 Injection, ceftriaxone sodium, per 250 mg	52	11	$30.00	$0.60
90670 Pneumococcal vaccine for injection into muscle	39	39	$219.62	$199.44
69210 Removal of impacted ear wax	35	30	$100.71	$50.15
99496 Transitional care management services for problem of high complexity	29	26	$422.00	$240.49
99495 Transitional care management services for problem of at least moderate complexity	29	22	$294.00	$170.23
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$80.00	$17.59
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	28	28	$25.00	$22.73
99497 Advance care planning, first 30 minutes	27	27	$139.00	$86.32
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	22	22	$55.00	$46.31
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$124.00	$105.59
17000 Destruction of skin growth	16	13	$95.00	$69.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$225.00	$168.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,012	374	$95.00	$70.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	856	289	$145.00	$103.61
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	495	75	$110.00	$40.68
G0008 Administration of influenza virus vaccine	217	216	$30.00	$26.71
90662 Influenza vaccine split virus, preservative free	193	192	$50.00	$47.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	120	33	$30.00	$25.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	97	21	$25.00	$1.81
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	93	11	$15.00	$2.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	92	92	$190.00	$164.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	44	$225.00	$139.87
G0444 Annual depression screening, 5 to 15 minutes	48	48	$29.00	$17.55
J0696 Injection, ceftriaxone sodium, per 250 mg	39	12	$30.00	$0.57
69210 Removal of impacted ear wax	35	33	$77.14	$47.56
G0009 Administration of pneumococcal vaccine	33	31	$30.00	$26.83
99495 Transitional care management services for problem of at least moderate complexity	31	29	$294.00	$158.47
90670 Pneumococcal vaccine for injection into muscle	28	27	$201.61	$184.59
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	25	25	$25.00	$22.63
93000 Routine ekg using at least 12 leads including interpretation and report	23	21	$80.00	$16.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$165.00	$111.72
99496 Transitional care management services for problem of high complexity	21	18	$422.00	$223.91
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	12	12	$30.00	$24.54
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	11	11	$55.00	$43.62

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G 73893

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1279 E 1ST AVE STE A, CHICO, CA 959261542 (Tel: 5308919531)

📍

Updated Business Mailing Address July 08, 2007

Registered at 944 BRYANT AVE, CHICO, CA 959262818 (Tel: 5308981742)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as RANDALL CAVINESS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #G 73893 in CA)

🟢

Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235140278

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 11, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

944 Bryant Ave

Chico, CA 959262818

Phone: 5308981742

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.