Providers

BRISTOL HOSPICE - CALIFORNIA, LLC

NPI 1487603452, organization, Merced, CA, Hospice Care, Community Based

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00104, ranked 104 nationally.
score 66 of 100, rank 1211, $338K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameBRISTOL HOSPICE - CALIFORNIA, LLC
TypeOrganization
StatusActive
NPI issuedMay 8, 2006, last updated September 24, 2025
Practice location374 E YOSEMITE AVE, SUITE 200, Merced, CA 95340, 801-596-8844
Mailing address206 N 2100 W STE 202, Slc, UT 84116-4741
Authorized officialALEX MAURICIO (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
codewhat it ispaidshareper patient-monthtypicalrank among providers
0650Medicaid service code$660K77%$6K$4K (top 5% from $6K)88th percentile
0658Medicaid service code$138K16%$4K$5K (top 5% from $7K)too few months to rank
0659Medicaid service code$64K7%$5K$5K (top 5% from $6K)too few months to rank

In this area

23 providers in Merced County, CA carry an indicator in the public record, with $29.8M at stake between them. The most common is more hours than a day holds, on 21 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1RODOLFO GARCIA
Los Banos, CA, ranked 425
$288
  • Listed on the CA Medicaid exclusion list since May 10, 2019.
  • Medicaid still paid claims in 1 later month, $288 in total.
3AVALON CARE CENTER-MERCED FRANCISCAN LLC
Merced, CA, ranked 4649
$0
  • Part of provider network D1-00104, ranked 104 nationally.
4MIRANDA FURIE
Merced, CA, ranked 7284
$7.6M
  • Hours beyond a day in 30 months, but with up to 742 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 2 more
4PRIYANKA JAIN
Merced, CA, ranked 7905
$634K
  • Hours beyond a day in 2 months, but with up to 506 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4ABHILASHA SHARMA
Merced, CA, ranked 7961
$423K
  • Hours beyond a day in 26 months, but with up to 4678 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4KARTHIKEYA DEVIREDDY
Los Banos, CA, ranked 8509
$3.4M
  • Hours beyond a day in 80 months, but with up to 4201 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4GEORGE ALKHOURI
Merced, CA, ranked 8725
$2.0M
  • Hours beyond a day in 23 months, but with up to 1649 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4ELLEN PIERNOT
Merced, CA, ranked 8971
$1.0M
  • Hours beyond a day in 46 months, but with up to 9907 patients a month across 17 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
All 23 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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