Providers
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
NPI 1265461024, organization, Novato, CA, Home Health
3
Evidence tier
network structure with a list link
- Part of provider network D1-00071, ranked 71 nationally.
score 64 of 100, rank 1602, $4K 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 2, 2006, last updated August 11, 2025 |
| Practice location | 100 ROWLAND WAY STE 210, Novato, CA 94945-5041, 415-209-7700 |
| Mailing address | 5099 COMMERCIAL CIR STE 208, Concord, CA 94520-1374 |
| Authorized official | Mark Mcpherson (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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| G0300 | Direct skilled nursing by LPN in home health or hospice each 15 min | $436K | 64% | $412 | $133 (top 5% from $1K) | 77th percentile | |
| G0151 | PT in home health or hospice setting each 15 min | $233K | 34% | $348 | $203 (top 5% from $565) | 80th percentile | |
| G0152 | OT in home health or hospice setting each 15 min | $13K | 2% | $263 | $182 (top 5% from $529) | too few months to rank |
In this area
6 providers in Marin County, CA carry an indicator in the public record, with $397K at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | SAN RAFAEL OPERATING COMPANY LP San Rafael, CA, ranked 1542 | $0 |
|
| 3 | DAVID BRODY San Anselmo, CA, ranked 2028 | $0 |
|
| 3 | NORTH BAY POST ACUTE, LLC Petaluma, CA, ranked 2986 | $0 |
|
| 3 | NORTHGATE POSTACUTE CARE San Rafael, CA, ranked 4269 | $0 |
|
| 5 | DOUGLAS COHEN Mill Valley, CA, ranked 11323 | $342K | |
| 5 | VARINDERJIT KAUR Kentfield, CA, ranked 11732 | $56K |
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.