Providers

WESTERN HEALTH RESOURCES

NPI 1174954689, organization, Bakersfield, CA, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00071, ranked 71 nationally.
score 66 of 100, rank 1147, $502K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameWESTERN HEALTH RESOURCES (also ADVENTIST HEALTH HOME CARE SERVICES)
TypeOrganization
StatusActive
NPI issuedDecember 9, 2013, last updated December 5, 2025
Practice location5500 MING AVE STE 120, Bakersfield, CA 93309-4619, 661-863-2700
Mailing addressPO BOX 619120, Roseville, CA 95661-9120
Authorized officialMelissa Ward (President)
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$95K47%$413$151 (top 5% from $742)85th percentile
G0300Direct skilled nursing by LPN in home health or hospice each 15 min$78K39%$580$133 (top 5% from $1K)84th percentile
G0151PT in home health or hospice setting each 15 min$27K14%$498$203 (top 5% from $565)too few months to rank
0270Medicaid service code$00%$0.00$8.51 (top 5% from $105)too few months to rank
0623Medicaid service code$00%$0.00too few months to rank
Q5001Medicaid service code$00%$0.00$0.00 (top 5% from $3K)too few months to rank

In this area

150 providers in Kern County, CA carry an indicator in the public record, with $131.1M at stake between them. The most common is more hours than a day holds, on 132 of them, followed by part of a provider network on 16. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1JANARDHAN GRANDHE MD A MEDICAL CORPORATION
Bakersfield, CA, ranked 101
$269K
  • Listed on the Medicare revocation list since October 14, 2022.
  • Medicaid still paid claims in 17 later months, $268,801 in total.
1JANARDHAN GRANDHE
Bakersfield, CA, ranked 117
$174K
  • Listed on the CA Medicaid exclusion list and the Medicare revocation list since October 14, 2022.
  • Medicaid still paid claims in 8 later months, $173,578 in total.
2JANELE SHAFER
Bakersfield, CA, ranked 737
$488K
  • Billed more hands-on hours than a day holds in 5 months, peaking at 36.0 hours per day across 6 billing organizations.
2SAMANTHA ESSENBERG
Bakersfield, CA, ranked 741
$386K
  • Billed more hands-on hours than a day holds in 2 months, peaking at 44.1 hour per day across 4 billing organizations.
2NAVNEET KAUR
Bakersfield, CA, ranked 743
$325K
  • Billed more hands-on hours than a day holds in 3 months, peaking at 29.4 hours per day across 3 billing organizations.
2RIPON DEEP KAUR
Bakersfield, CA, ranked 747
$235K
  • Billed more hands-on hours than a day holds in 1 month, peaking at 26.8 hours per day across 3 billing organizations.
3D A HEALTH CARE SERVICES
Bakersfield, CA, ranked 807
$243K
  • Part of provider network D1-00023, ranked 23 nationally.
  • Medicaid dollars per patient on code G0151 ($703 per patient-month) sit in the top 5% of every provider billing that code.
3KERN HOSPICE CARE, INC
Bakersfield, CA, ranked 1021
$1.3M
  • Part of provider network D1-00019, ranked 19 nationally.
All 150 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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