GATE THREE HEALTHCARE LLC

NPI 1639164361, organization, Laguna Hills, CA, Skilled Nursing Facility

Evidence tier

network structure with a list link

Part of provider network D1-00010, ranked 10 nationally.
Medicaid dollars per patient on code 97110 ($442 per patient-month) sit in the top 5% of every provider billing that code.

score 64 of 100, rank 1536, $0 at stake

Provider networks

D1-00010 ranked 10

33 providers around Mission Hills, CA: 5 hospices, 25 home health agencies, 3 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	GATE THREE HEALTHCARE LLC (also PALM TERRACE HEALTHCARE AND REHABILITATION CENTER)
Type	Organization
Status	Active
NPI issued	September 19, 2005, last updated February 17, 2021
Practice location	24962 CALLE ARAGON, Laguna Hills, CA 92637-3883, 949-587-9000
Authorized official	SOON BURNAM (Authorized Agent)
Specialties	Skilled Nursing Facility (314000000X, primary, license 060000226 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
97110	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$300K	100%	$442	$76 (top 5% from $314)	98th percentile
97530	Therapy procedure using functional activities	$528	0%	$0.80	$124 (top 5% from $387)	3rd percentile
97162	Evaluation for physical therapy, typically 30 minutes	$100	0%	$8.31	$48 (top 5% from $145)	too few months to rank
97116	Therapy procedure for walking training, each 15 minutes	$0	0%	$0.00	$30 (top 5% from $180)	0th percentile
97535	Training for self-care or home management, each 15 minutes	$0	0%	$0.00	$48 (top 5% from $459)	0th percentile
97112	Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	$0	0%	$0.00	$59 (top 5% from $187)	0th percentile

In this area

237 providers in Orange County, CA carry an indicator in the public record, with $177.1M at stake between them. The most common is more hours than a day holds, on 117 of them, followed by part of a provider network on 110. 7 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	NANCY DAVIS Orange, CA, ranked 136	$125K	Listed on the CA Medicaid exclusion list since January 20, 2016. Medicaid still paid claims in 4 later months, $125,111 in total.
1	KEVIN DO Tustin, CA, ranked 204	$41K	Listed on the CA Medicaid exclusion list since March 7, 2003. Medicaid still paid claims in 22 later months, $41,061 in total.
1	RASOUL MONTAZERI Irvine, CA, ranked 213	$35K	Listed on the CA Medicaid exclusion list since October 11, 2019. Medicaid still paid claims in 14 later months, $34,645 in total.
1	BRUCE HAGADORN Irvine, CA, ranked 293	$9K	Listed on the CA Medicaid exclusion list since November 16, 2017. Medicaid still paid claims in 2 later months, $9,268 in total.
1	SAMPATH SURYADEVARA Anaheim, CA, ranked 349	$3K	Listed on the CA Medicaid exclusion list since March 29, 2021. Medicaid still paid claims in 3 later months, $2,923 in total.
1	DUK KIM Huntington Beach, CA, ranked 391	$1K	Listed on the CA Medicaid exclusion list since September 22, 2020. Medicaid still paid claims in 1 later month, $1,103 in total.
1	PAUL JOHNSON Garden Grove, CA, ranked 412	$514	Listed on the CA Medicaid exclusion list since July 1, 2020. Medicaid still paid claims in 1 later month, $514 in total.
3	LAGUNA HOME HEALTH SERVICES, LLC Mission Viejo, CA, ranked 924	$4.7M	Part of provider network D1-00107, ranked 107 nationally.

All 237 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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