Providers

SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

NPI 1649209412, organization, Sacramento, CA, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00071, ranked 71 nationally.
  • Medicaid dollars per patient on code G0299 ($1183 per patient-month) sit in the top 5% of every provider billing that code.
score 70 of 100, rank 802, $431K 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 issuedJuly 2, 2006, last updated August 7, 2024
Practice location2710 GATEWAY OAKS DR STE 320S, Sacramento, CA 95833-4330, 916-388-6200
Mailing address5099 COMMERCIAL CIR STE 208, Concord, CA 94520-1374
Authorized officialMark Mcpherson (President (Ceo))
Specialties
Home Health (251E00000X, 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
G0299Direct skilled nursing by RN in home health or hospice each 15 min$3.7M59%$1K$151 (top 5% from $742)98th percentile
G0151PT in home health or hospice setting each 15 min$1.4M22%$661$203 (top 5% from $565)96th percentile
G0300Direct skilled nursing by LPN in home health or hospice each 15 min$655K10%$514$133 (top 5% from $1K)81st percentile
G0155Clinical social worker in home health or hospice setting each 15 min$276K4%$277$0.00 (top 5% from $192)97th percentile
G0152OT in home health or hospice setting each 15 min$206K3%$494$182 (top 5% from $529)93rd percentile
0551Medicaid service code$48K1%$1K$0.00 (top 5% from $630)too few months to rank

In this area

64 providers in Sacramento County, CA carry an indicator in the public record, with $37.3M at stake between them. The most common is part of a provider network, on 39 of them, followed by more hours than a day holds on 25.

tierproviderat stakewhy
3AMERICAN RIVER HOME CARE
Sacramento, CA, ranked 792
$797K
  • Part of provider network D1-00045, ranked 45 nationally.
  • Medicaid dollars per patient on code G0155 ($216 per patient-month) sit in the top 5% of every provider billing that code.
3ACEPTIO HEALTH CARE SERVICES INC.
Orangevale, CA, ranked 979
$1.9M
  • Part of provider network D1-00034, ranked 34 nationally.
3PROHEALTH HOME CARE, INC
Sacramento, CA, ranked 1062
$876K
  • Part of provider network D1-00023, ranked 23 nationally.
3PRESTIGE HOME HEALTH SERVICES, INC.
Elk Grove, CA, ranked 1140
$520K
  • Part of provider network D1-00030, ranked 30 nationally.
3RX STAFFING AND HOME CARE, INC
Sacramento, CA, ranked 1440
$42K
  • Part of provider network D1-00045, ranked 45 nationally.
3A PLUS HEALTHCARE, LLC
Fair Oaks, CA, ranked 1505
$17K
  • Part of provider network D1-00023, ranked 23 nationally.
3RANCHO SECO CARE CENTER LLC
Galt, CA, ranked 1916
$0
  • Part of provider network D1-00087, ranked 87 nationally.
3ASSURED HOME HEALTH SERVICES LLC
Sacramento, CA, ranked 2170
$0
  • Part of provider network D1-00034, ranked 34 nationally.
All 64 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.

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