SAN RAFAEL OPERATING COMPANY LP

NPI 1659610814, organization, San Rafael, CA, Skilled Nursing Facility

Evidence tier

network structure with a list link

Part of provider network D1-00092, ranked 92 nationally.
Medicaid dollars per patient on code 99304 ($205 per patient-month) sit in the top 5% of every provider billing that code.

score 64 of 100, rank 1542, $0 at stake

Provider networks

D1-00092 ranked 92

80 providers around Hayward, CA: 6 hospices, 11 home health agencies, 63 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	SAN RAFAEL OPERATING COMPANY LP (also PINE RIDGE CARE CENTER)
Type	Organization
Status	Active
NPI issued	February 7, 2013, last updated October 17, 2014
Practice location	45 PROFESSIONAL CENTER PKWY, San Rafael, CA 94903-2702, 415-479-3610
Authorized official	ANDREA SAAVEDRA (Regional Financial Analyst)
Specialties	Skilled Nursing Facility (314000000X, 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

code	what it is	paid	share	per patient-month	typical	rank among providers
99304	Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	$223K	100%	$205	$14 (top 5% from $148)	96th percentile

In this area

6 providers in Marin County, CA carry an indicator in the public record, with $402K at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 2.

tier	provider	at stake	why
3	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Novato, CA, ranked 1602	$4K	Part of provider network D1-00071, ranked 71 nationally.
3	DAVID BRODY San Anselmo, CA, ranked 2028	$0	Charged (indicted) per a Department of Justice release dated June 13, 2024, not adjudicated.
3	NORTH BAY POST ACUTE, LLC Petaluma, CA, ranked 2986	$0	Part of provider network D1-00043, ranked 43 nationally.
3	NORTHGATE POSTACUTE CARE San Rafael, CA, ranked 4269	$0	Part of provider network D1-00138, ranked 138 nationally.
5	DOUGLAS COHEN Mill Valley, CA, ranked 11323	$342K
5	VARINDERJIT KAUR Kentfield, CA, ranked 11732	$56K

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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