Providers

SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

NPI 1063658987, organization, Santa Cruz, CA, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00071, ranked 71 nationally.
  • Medicaid dollars per patient on code G0299 ($850 per patient-month) sit in the top 5% of every provider billing that code.
score 69 of 100, rank 809, $199K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSUTTER VISITING NURSE ASSOCIATION AND HOSPICE (also SUTTER CARE AT HOME)
TypeOrganization
StatusActive
NPI issuedDecember 23, 2008, last updated July 22, 2024
Practice location2880 SOQUEL AVE, STE 10, Santa Cruz, CA 95062-1423, 831-477-2600
Mailing address5099 COMMERCIAL CIR STE 208, Concord, CA 94520-1374
Authorized officialMark Mcpherson (President (Ceo))
Specialties
Home Health (251E00000X, primary)

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
codewhat it ispaidshareper patient-monthtypicalrank among providers
G0299Direct skilled nursing by RN in home health or hospice each 15 min$1.6M84%$850$151 (top 5% from $742)96th percentile
G0151PT in home health or hospice setting each 15 min$290K16%$467$203 (top 5% from $565)91st percentile
G0152OT in home health or hospice setting each 15 min$5K0%$392$182 (top 5% from $529)too few months to rank

In this area

9 providers in Santa Cruz County, CA carry an indicator in the public record, with $6.7M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by part of a provider network on 3.

tierproviderat stakewhy
3HOSPICE OF SANTA CRUZ COUNTY
Scotts Valley, CA, ranked 1309
$149K
  • Part of provider network D1-00126, ranked 126 nationally.
3DRIFTWOOD SANTA CRUZ OPERATING COMPANY, LP
Santa Cruz, CA, ranked 3140
$0
  • Part of provider network D1-00092, ranked 92 nationally.
3LAZER HOLDINGS LLC
Watsonville, CA, ranked 6675
$0
  • Part of provider network D1-00043, ranked 43 nationally.
4CASSY FRIEDRICH
Santa Cruz, CA, ranked 8485
$3.6M
  • Hours beyond a day in 30 months, but with up to 2392 patients a month across 7 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4VICTORIA CHEW
Watsonville, CA, ranked 8832
$1.5M
  • Hours beyond a day in 18 months, but with up to 1211 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4MAI-KHANH BUI-DUY
Watsonville, CA, ranked 9420
$240K
  • Hours beyond a day in 1 month, but with up to 644 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4ANDREW GERENRAICH
Santa Cruz, CA, ranked 9556
$116K
  • Hours beyond a day in 1 month, but with up to 514 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5CRISTINA GAMBOA
Watsonville, CA, ranked 11140
$685K
All 9 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.

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