Providers

SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

NPI 1568840734, organization, Saratoga, CA, Hospice Care, Community Based

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00071, ranked 71 nationally.
score 64 of 100, rank 1464, $30K 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 issuedMay 8, 2015, last updated May 8, 2024
Practice location12930 SARATOGA AVE STE A2, Saratoga, CA 95070-4661, 408-559-5600
Mailing address5099 COMMERCIAL CIR STE 208, Concord, CA 94520-1374
Authorized officialMark Mcpherson (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
Q5001Medicaid service code$30K100%$3K$0.00 (top 5% from $3K)too few months to rank
G0156Home health or hospice aide each 15 min$00%$0.00$585 (top 5% from $4K)0th percentile
G0299Direct skilled nursing by RN in home health or hospice each 15 min$00%$0.00$151 (top 5% from $742)0th percentile

In this area

47 providers in Santa Clara County, CA carry an indicator in the public record, with $42.6M at stake between them. The most common is part of a provider network, on 23 of them, followed by more hours than a day holds on 21. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1JUAN E POSADA MD INCORPORATED
San Jose, CA, ranked 371
$2K
  • Listed on the Medicare revocation list since January 27, 2021.
  • Medicaid still paid claims in 10 later months, $1,835 in total.
1BRENDA VILLASENOR
East Palo Alto, CA, ranked 385
$1K
  • Listed on the CA Medicaid exclusion list since April 4, 2018.
  • Medicaid still paid claims in 3 later months, $1,240 in total.
3PROHEALTH HOME CARE, INC.
San Jose, CA, ranked 1317
$137K
  • Part of provider network D1-00023, ranked 23 nationally.
3COMFORT HANDS HEALTHCARE INC
San Jose, CA, ranked 1568
$7K
  • Part of provider network D1-00030, ranked 30 nationally.
3GOLD STAR HOSPICE LLC
Sunnyvale, CA, ranked 1848
$0
  • Part of provider network D1-00045, ranked 45 nationally.
3FIVE STAR HOME CARE LLC
Sunnyvale, CA, ranked 1872
$0
  • Part of provider network D1-00045, ranked 45 nationally.
3HELENIUM HOME HEALTH INC
San Jose, CA, ranked 2341
$0
  • Part of provider network D1-00067, ranked 67 nationally.
3CAMDEN POSTACUTE CARE, INC.
Campbell, CA, ranked 2935
$0
  • Part of provider network D1-00138, ranked 138 nationally.
All 47 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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Ask this case

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