Providers

JOHN MUIR HEALTH

NPI 1437161452, organization, Concord, CA, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00010, ranked 10 nationally.
score 66 of 100, rank 1121, $591K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameJOHN MUIR HEALTH (also JOHN MUIR HOME HEALTH SERVICES)
TypeOrganization
StatusActive
NPI issuedAugust 12, 2006, last updated February 4, 2008
Practice location2298 PIKE CT, Concord, CA 94520-1251, 924-674-2560
Authorized officialKenneth Meehan (Executive Vice President)
Specialties
Home Health (251E00000X, primary, license 020000208 CA)

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$1.6M62%$514$151 (top 5% from $742)90th percentile
G0151PT in home health or hospice setting each 15 min$702K27%$442$203 (top 5% from $565)89th percentile
G0300Direct skilled nursing by LPN in home health or hospice each 15 min$158K6%$194$133 (top 5% from $1K)59th percentile
G0152OT in home health or hospice setting each 15 min$117K5%$329$182 (top 5% from $529)81st percentile
0623Medicaid service code$180%$0.16too few months to rank
A6216Medicaid service code$00%$0.00$4.34 (top 5% from $17)too few months to rank

In this area

38 providers in Contra Costa County, CA carry an indicator in the public record, with $36.9M at stake between them. The most common is more hours than a day holds, on 20 of them, followed by part of a provider network on 18.

tierproviderat stakewhy
3SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Concord, CA, ranked 781
$2.1M
  • Part of provider network D1-00071, ranked 71 nationally.
  • Medicaid dollars per patient on code G0155 ($1084 per patient-month) sit in the top 5% of every provider billing that code.
3CREEKSIDE OPERATING COMPANY LP
San Pablo, CA, ranked 944
$3.0M
  • Part of provider network D1-00092, ranked 92 nationally.
3EAST BAY INTEGRATED CARE, INC
Pleasant Hill, CA, ranked 1367
$89K
  • Part of provider network D1-00126, ranked 126 nationally.
3PROHEALTH HOME CARE INC
Walnut Creek, CA, ranked 1444
$40K
  • Part of provider network D1-00023, ranked 23 nationally.
3VALE OPERATING COMPANY LP
San Pablo, CA, ranked 1462
$31K
  • Part of provider network D1-00092, ranked 92 nationally.
3ANTIOCH DUNES HEALTHCARE, LLC
Antioch, CA, ranked 1933
$0
  • Part of provider network D1-00092, ranked 92 nationally.
3TICE VALLEY COMMUNITY HEALTHCARE, LLC
Walnut Creek, CA, ranked 2153
$0
  • Part of provider network D1-00092, ranked 92 nationally.
3WILLOW PASS HEALTH CARE CENTER, INC.
Concord, CA, ranked 2358
$0
  • Part of provider network D1-00092, ranked 92 nationally.
All 38 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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