Providers

SEA COAST HOME HEALTH CARE INC

NPI 1720523921, organization, San Diego, CA, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00026, ranked 26 nationally.
score 63 of 100, rank 1627, $3K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSEA COAST HOME HEALTH CARE INC
TypeOrganization
StatusActive
NPI issuedDecember 23, 2016, last updated December 10, 2024
Practice location8380 MIRAMAR MALL, STE 107, San Diego, CA 92121-2548, 858-452-9200
Authorized officialELMER SOLIS (Executive Director)
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$44770%$1.13$151 (top 5% from $742)22nd percentile
G0300Direct skilled nursing by LPN in home health or hospice each 15 min$14022%$0.33$133 (top 5% from $1K)28th percentile
G0151PT in home health or hospice setting each 15 min$528%$0.43$203 (top 5% from $565)18th percentile
G0493RN observation and assessment in home health each 15 min$00%$0.00$0.00 (top 5% from $148)too few months to rank
Q5001Medicaid service code$00%$0.00$0.00 (top 5% from $3K)0th percentile

In this area

141 providers in San Diego County, CA carry an indicator in the public record, with $221.8M at stake between them. The most common is more hours than a day holds, on 83 of them, followed by part of a provider network on 42. 12 are tier 1: documented action, then payment.

tierproviderat stakewhy
1BRENTON WYNN
National City, CA, ranked 19
$52K
  • Listed on the CA Medicaid exclusion list and the Medicare revocation list since May 23, 2022.
  • Medicaid still paid claims in 6 later months, $51,770 in total.
  • and 1 more
1MICHAEL I KELLER M.D. INC
San Diego, CA, ranked 124
$141K
  • Listed on the CA Medicaid exclusion list since December 10, 2020.
  • Medicaid still paid claims in 18 later months, $141,240 in total.
1BRENTON D. WYNN, MD INC
National City, CA, ranked 135
$125K
  • Listed on the CA Medicaid exclusion list since May 23, 2022.
  • Medicaid still paid claims in 27 later months, $125,367 in total.
1BRUCE BAKER
Poway, CA, ranked 144
$107K
  • Listed on the CA Medicaid exclusion list since July 13, 2020.
  • Medicaid still paid claims in 3 later months, $106,617 in total.
1KYUNG BOEN
San Marcos, CA, ranked 191
$50K
  • Listed on the WA Medicaid exclusion list since April 7, 2017.
  • Medicaid still paid claims in 16 later months, $50,384 in total.
1ROOZBEH BADII
San Diego, CA, ranked 199
$45K
  • Listed on the OIG exclusion list and the NY Medicaid exclusion list and the CA Medicaid exclusion list since February 15, 2018.
  • Medicaid still paid claims in 15 later months, $44,839 in total.
1CHIVANO CHHIENG
San Diego, CA, ranked 231
$24K
  • Listed on the CA Medicaid exclusion list since July 14, 2020.
  • Medicaid still paid claims in 12 later months, $23,669 in total.
1JOHN QIAN
San Diego, CA, ranked 232
$23K
  • Listed on the CA Medicaid exclusion list since February 11, 2022.
  • Medicaid still paid claims in 5 later months, $23,392 in total.
  • and 3 more
All 141 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

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.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.