Providers

SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

NPI 1437188208, organization, San Francisco, 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 1210, $339K 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 issuedJuly 2, 2006, last updated August 11, 2025
Practice location2340 CLAY ST STE 2A, San Francisco, CA 94115-1932, 415-749-4200
Mailing address5099 COMMERCIAL CIR STE 208, Concord, CA 94520-1374
Authorized officialMark 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
G0299Direct skilled nursing by RN in home health or hospice each 15 min$905K49%$271$151 (top 5% from $742)69th percentile
G0151PT in home health or hospice setting each 15 min$483K26%$255$203 (top 5% from $565)63rd percentile
G0152OT in home health or hospice setting each 15 min$280K15%$197$182 (top 5% from $529)56th percentile
G0155Clinical social worker in home health or hospice setting each 15 min$163K9%$149$0.00 (top 5% from $192)93rd percentile
G0493RN observation and assessment in home health each 15 min$2K0%$52$0.00 (top 5% from $148)too few months to rank
G0153SLP in home health or hospice setting each 15 min$2K0%$146$282 (top 5% from $676)too few months to rank
G0495RN training/education of patient or caregiver each 15 min$1K0%$115$0.00 (top 5% from $154)too few months to rank
G0300Direct skilled nursing by LPN in home health or hospice each 15 min$1K0%$87$133 (top 5% from $1K)too few months to rank

In this area

19 providers in San Francisco County, CA carry an indicator in the public record, with $9.1M at stake between them. The most common is part of a provider network, on 9 of them, followed by more hours than a day holds on 8. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1JUAN POSADA
San Francisco, CA, ranked 370
$2K
  • Listed on the Medicare revocation list since January 27, 2021.
  • Medicaid still paid claims in 10 later months, $1,835 in total.
3PINE STREET SNF, LLC
San Francisco, CA, ranked 1244
$262K
  • Part of provider network D1-00092, ranked 92 nationally.
3OWEN HEALTHCARE, LLC
San Francisco, CA, ranked 1373
$82K
  • Part of provider network D1-00031, ranked 31 nationally.
3DONE HEALTH P.C.
San Francisco, CA, ranked 1989
$0
  • Charged (indicted) per a Department of Justice release dated June 13, 2024, not adjudicated.
3GOLDEN CALIFORNIA HEALTHCARE, LLC
San Francisco, CA, ranked 3174
$0
  • Part of provider network D1-00092, ranked 92 nationally.
3SUTTER BAY HOSPITALS
San Francisco, CA, ranked 3652
$0
  • Part of provider network D1-00071, ranked 71 nationally.
3SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
San Francisco, CA, ranked 3967
$0
  • Part of provider network D1-00071, ranked 71 nationally.
3GOLDEN GATEIDENCE OPCO, LLC
San Francisco, CA, ranked 4070
$0
  • Part of provider network D1-00092, ranked 92 nationally.
All 19 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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