Providers

HIGH CARE HOSPICE, INC.

NPI 1528556958, organization, Riverside, CA, Hospice Care, Community Based

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00031, ranked 31 nationally.
score 67 of 100, rank 923, $4.9M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameHIGH CARE HOSPICE, INC.
TypeOrganization
StatusActive
NPI issuedMay 1, 2018, last updated October 20, 2025
Practice location2030 IOWA AVE STE 110, Riverside, CA 92507-7416, 760-469-9639
Authorized officialSYLVIE BOAL (Compliance Officer)
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
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes$3.8M72%$1K$94 (top 5% from $327)100th percentile
99341Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes$1.4M26%$476$9.86 (top 5% from $1K)89th percentile
G9002Medicaid service code$82K2%$290$121 (top 5% from $320)89th percentile
S0271Medicaid service code$28K1%$267too few months to rank
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes$19K0%$1K$79 (top 5% from $359)too few months to rank
1125FMedicaid service code$00%$0.00$0.00 (top 5% from $0.19)0th percentile
1158FMedicaid service code$00%$0.00$0.00 (top 5% from $0.23)0th percentile
1111FMedicaid service code$00%$0.00$0.00 (top 5% from $0.81)0th percentile

In this area

178 providers in Riverside County, CA carry an indicator in the public record, with $220.4M at stake between them. The most common is more hours than a day holds, on 113 of them, followed by part of a provider network on 57. 5 are tier 1: documented action, then payment.

tierproviderat stakewhy
1PHLEBXPRESS
Temecula, CA, ranked 20
$45K
  • Listed on the Medicare revocation list since January 20, 2023.
  • Medicaid still paid claims in 14 later months, $45,245 in total.
  • and 1 more
1BABAR IQBAL MD INC
Riverside, CA, ranked 267
$13K
  • Listed on the Medicare revocation list since June 10, 2020.
  • Medicaid still paid claims in 3 later months, $12,584 in total.
1BABAR IQBAL
Riverside, CA, ranked 268
$13K
  • Listed on the Medicare revocation list since June 10, 2020.
  • Medicaid still paid claims in 3 later months, $12,584 in total.
1FERNANDO PALACIOS
Wildomar, CA, ranked 334
$4K
  • Listed on the CA Medicaid exclusion list and the Medicare revocation list since June 27, 2024.
  • Medicaid still paid claims in 4 later months, $4,063 in total.
1BORREGO COMMUNITY HEALTH FOUNDATION
Lake Elsinore, CA, ranked 495
$0
  • Adjudicated (sentenced, charged) per a state attorney general release dated July 22, 2024.
  • No Medicaid payments in the last 12 observed months.
3AGAPE GROUP, INC
Corona, CA, ranked 946
$2.8M
  • Part of provider network D1-00029, ranked 29 nationally.
3RIVERSIDE CARE, INC.
Riverside, CA, ranked 1070
$844K
  • Part of provider network D1-00041, ranked 41 nationally.
3CARE DIMENSIONS OF THE DESERT, LLC
Palm Desert, CA, ranked 1167
$450K
  • Part of provider network D1-00092, ranked 92 nationally.
All 178 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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