Providers
All 73 in CA
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
NPI 1124053558, organization, Alameda, CA, Hospice Care, Community Based
3
Evidence tier
network structure with a list link
- Part of provider network D1-00071, ranked 71 nationally.
- Medicaid dollars per patient on code T2042 ($6927 per patient-month) sit in the top 5% of every provider billing that code.
score 70 of 100, rank 775, $2.6M at stake
Provider networks
D1-00071 ranked 7174 providers around Yuba City, CA: 21 hospices, 47 home health agencies, 6 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SUTTER VISITING NURSE ASSOCIATION AND HOSPICE (also SUTTER CARE AT HOME) |
| Type | Organization |
| Status | Active |
| NPI issued | July 12, 2006, last updated May 29, 2024 |
| Practice location | 1025 ATLANTIC AVE STE 100A, Alameda, CA 94501-1189, 510-263-0900 |
| Mailing address | 5099 COMMERCIAL CIR, STE 208, Concord, CA 94520-1291 |
| Authorized official | Mark Mcpherson (President (Ceo)) |
| Specialties | Hospice Care, Community Based (251G00000X, 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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 0650 | Medicaid service code | $4.9M | 38% | $6K | $4K (top 5% from $6K) | 83rd percentile | |
| 0658 | Medicaid service code | $3.6M | 29% | $5K | $5K (top 5% from $7K) | 51st percentile | |
| Q5001 | Medicaid service code | $2.2M | 17% | $6K | $0.00 (top 5% from $3K) | 100th percentile | |
| T2042 | Medicaid service code | $1.9M | 15% | $7K | $4K (top 5% from $5K) | 100th percentile | |
| 0651 | Medicaid service code | $99K | 1% | $4K | too few months to rank |
In this area
73 providers in Alameda County, CA carry an indicator in the public record, with $28.7M at stake between them. The most common is part of a provider network, on 49 of them, followed by more hours than a day holds on 20. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | BHUPINDER BHANDARI MD INC Fremont, CA, ranked 79 | $526K |
|
| 1 | ST. FRANCIS MEDICAL GROUP, P.C. Hayward, CA, ranked 183 | $55K |
|
| 1 | HEALTH NOW HOME HEALTHCARE INC. Hayward, CA, ranked 586 | $0 |
|
| 3 | HEALTHFLEX HOME HEALTH SERVICES Oakland, CA, ranked 991 | $1.7M |
|
| 3 | HEALTH ESSENTIALS RESOURCE & SERVICES INC Hayward, CA, ranked 1213 | $337K |
|
| 3 | BLC HOMEHEALTH INC. San Leandro, CA, ranked 1287 | $180K |
|
| 3 | NEOGREEN SOLUTIONS INC Hayward, CA, ranked 1326 | $128K |
|
| 3 | DUBLIN HELPING HAND INC Newark, CA, ranked 1656 | $1K |
|
Recent enforcement in CA
All releasesDepartment 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
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.