Providers
All 70 in CA
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
NPI 1588745137, organization, Fresno, CA, Home Health
3
Evidence tier
network structure with a list link
- Part of provider network D1-00031, ranked 31 nationally.
score 66 of 100, rank 1078, $790K at stake
Provider networks
D1-00031 ranked 3178 providers around Fresno, CA: 32 hospices, 19 home health agencies, 27 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER (also COMMUNITY HOME CARE) |
| Type | Organization |
| Status | Active |
| NPI issued | October 18, 2006, last updated August 21, 2025 |
| Practice location | 1630 E SHAW, SUITE 154, Fresno, CA 93710-8109, 559-724-4190 |
| Mailing address | 1630 E. SHAW AVE., SUITE 154, Fresno, CA 93710-8109 |
| Authorized official | Craig Wagoner (Ceo) |
| Specialties | Home Health (251E00000X, primary, license 040000008 CA) |
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 | |
|---|---|---|---|---|---|---|---|
| G0299 | Direct skilled nursing by RN in home health or hospice each 15 min | $2.0M | 57% | $352 | $151 (top 5% from $742) | 79th percentile | |
| G0300 | Direct skilled nursing by LPN in home health or hospice each 15 min | $666K | 19% | $253 | $133 (top 5% from $1K) | 67th percentile | |
| G0151 | PT in home health or hospice setting each 15 min | $499K | 14% | $117 | $203 (top 5% from $565) | 37th percentile | |
| G0152 | OT in home health or hospice setting each 15 min | $121K | 3% | $85 | $182 (top 5% from $529) | 24th percentile | |
| 0551 | Medicaid service code | $110K | 3% | $20 | $0.00 (top 5% from $630) | 83rd percentile | |
| G0153 | SLP in home health or hospice setting each 15 min | $83K | 2% | $133 | $282 (top 5% from $676) | 10th percentile | |
| G0155 | Clinical social worker in home health or hospice setting each 15 min | $58K | 2% | $59 | $0.00 (top 5% from $192) | 84th percentile | |
| Q5001 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $3K) | too few months to rank |
In this area
70 providers in Fresno County, CA carry an indicator in the public record, with $17.0M at stake between them. The most common is part of a provider network, on 37 of them, followed by more hours than a day holds on 31. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | FELIPE RUIZ Clovis, CA, ranked 355 | $3K |
|
| 1 | GOT SLEEP INC Fresno, CA, ranked 520 | $0 |
|
| 3 | COMPASSIONATE CARE HOME HEALTH Fresno, CA, ranked 789 | $1.1M |
|
| 3 | ST.MARY'S HOME HEALTH SERVICES,INC. Fresno, CA, ranked 1143 | $513K |
|
| 3 | CARELIFE HOSPICE, INC. Fresno, CA, ranked 1414 | $54K |
|
| 3 | HEALTHCARE CALIFORNIA Fresno, CA, ranked 1622 | $3K |
|
| 3 | REEDLEY SKILLED CARE LLC Reedley, CA, ranked 1971 | $0 |
|
| 3 | CALIFORNIA HOME FOR THE AGED, INC. Fresno, CA, ranked 2303 | $0 |
|
Recent enforcement in CA
All releasesDepartment 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.