RIVER BEND HOLDINGS, LLC

NPI 1497228266, organization, West Sacramento, CA, Skilled Nursing Facility

Evidence tier

network structure with a list link

Part of provider network D1-00092, ranked 92 nationally.

score 64 of 100, rank 1603, $4K at stake

Provider networks

D1-00092 ranked 92

80 providers around Hayward, CA: 6 hospices, 11 home health agencies, 63 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	RIVER BEND HOLDINGS, LLC
Type	Organization
Status	Active
NPI issued	January 4, 2019, last updated January 4, 2019
Practice location	2215 OAKMONT WAY, West Sacramento, CA 95691-3022, 916-371-1890
Authorized official	RICHARD MARTIN (Member)
Specialties	Skilled Nursing Facility (314000000X, 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
99304	Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	$12K	100%	$298	$14 (top 5% from $148)	too few months to rank

In this area

5 providers in Yolo County, CA carry an indicator in the public record, with $3.1M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	JESSE VAUGHN Davis, CA, ranked 388	$1K	Listed on the CA Medicaid exclusion list since January 11, 2014. Medicaid still paid claims in 2 later months, $1,159 in total.
3	WEST COURT LANE HEALTHCARE, INC. Davis, CA, ranked 2686	$0	Part of provider network D1-00041, ranked 41 nationally.
4	MAUREEN MUTURI Woodland, CA, ranked 7863	$863K	Hours beyond a day in 1 month, but with up to 264 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	LINDSAY CASSEY West Sacramento, CA, ranked 8708	$2.1M	Hours beyond a day in 18 months, but with up to 1039 patients a month across 8 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
5	MARKIE MALDONADO Woodland, CA, ranked 11575	$131K

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

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.

Ask this case

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