Providers

NAPAIDENCE OPCO, LLC

NPI 1669914107, organization, Napa, CA, Skilled Nursing Facility

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00041, ranked 41 nationally.
score 60 of 100, rank 5022, $0 at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameNAPAIDENCE OPCO, LLC (also NAPA POST ACUTE)
TypeOrganization
StatusActive
NPI issuedNovember 15, 2016, last updated August 20, 2024
Practice location705 TRANCAS ST, Napa, CA 94558-3014, 707-255-6060
Mailing address262 N UNIVERSITY AVE, Farmington, UT 84025-2975
Authorized officialJOHN MITCHELL (Secretary)
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
codewhat it ispaidshareper patient-monthtypicalrank among providers
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes$17K100%$208$14 (top 5% from $148)96th percentile

In this area

6 providers in Napa County, CA carry an indicator in the public record, with $1.3M 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 3.

tierproviderat stakewhy
3PETUNIA HOLDINGS, LLC
Napa, CA, ranked 1491
$21K
  • Part of provider network D1-00041, ranked 41 nationally.
3VETERANS HOME OF CALIFORNIA
Yountville, CA, ranked 2988
$0
  • Part of provider network D1-00138, ranked 138 nationally.
3DANNY'S HOME HEALTH CARE INC.
Napa, CA, ranked 3037
$0
  • Part of provider network D1-00045, ranked 45 nationally.
4AMY MONTANEZ
Napa, CA, ranked 8935
$1.2M
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
4TERESA SHINDER
Saint Helena, CA, ranked 9597
$72K
  • Hours beyond a day in 8 months, but with up to 1729 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4DAVID GORCHOFF
Napa, CA, ranked 9762
$4K
  • Hours beyond a day in 1 month, but with up to 1549 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.

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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