Providers

WESTERN HEALTH RESOURCES

NPI 1770042103, organization, Lodi, CA, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00071, ranked 71 nationally.
score 65 of 100, rank 1292, $175K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameWESTERN HEALTH RESOURCES (also ADVENTIST HEALTH HOME CARE SERVICES)
TypeOrganization
StatusActive
NPI issuedMarch 15, 2019, last updated December 1, 2025
Practice location800 S LOWER SACRAMENTO RD, Lodi, CA 95242-3635, 209-333-3131
Mailing addressPO BOX 619120, Roseville, CA 95661-9120
Authorized officialMelissa Ward (President)
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$130K71%$229$151 (top 5% from $742)63rd percentile
G0300Direct skilled nursing by LPN in home health or hospice each 15 min$48K26%$163$133 (top 5% from $1K)55th percentile
G0151PT in home health or hospice setting each 15 min$4K2%$172$203 (top 5% from $565)too few months to rank

In this area

30 providers in San Joaquin County, CA carry an indicator in the public record, with $75.7M at stake between them. The most common is more hours than a day holds, on 20 of them, followed by part of a provider network on 10.

tierproviderat stakewhy
2SOMA KRISHNAMOORTHI
Escalon, CA, ranked 709
$210K
  • Billed more hands-on hours than a day holds in 1 month, peaking at 131.2 hours per day across 3 billing organizations.
  • Medicaid dollars per patient on code 90686 ($340 per patient-month) sit in the top 5% of every provider billing that code.
3PROHEALTH HOME CARE, INC
Stockton, CA, ranked 1389
$71K
  • Part of provider network D1-00023, ranked 23 nationally.
3AMERIPRIME HEALTHCARE INC.
Tracy, CA, ranked 1481
$24K
  • Part of provider network D1-00069, ranked 69 nationally.
3DEERGRASS HEALTHCARE, INC.
Lodi, CA, ranked 1804
$0
  • Part of provider network D1-00041, ranked 41 nationally.
3STOCKTON HEALTH CARE SERVICES, INC.
Stockton, CA, ranked 2410
$0
  • Part of provider network D1-00041, ranked 41 nationally.
3NOBLE CARE CENTER LLC
Stockton, CA, ranked 3556
$0
  • Part of provider network D1-00087, ranked 87 nationally.
3PROHEALTH HOME CARE, INC
Stockton, CA, ranked 3928
$0
  • Part of provider network D1-00023, ranked 23 nationally.
3STOCKTON EDISON HEALTHCARE CORPORATION
Stockton, CA, ranked 4350
$0
  • Part of provider network D1-00092, ranked 92 nationally.
All 30 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.