ASPIRE HEALTHCARE SERVICES

NPI 1780024851, organization, Upland, CA, Home Health

Evidence tier

network structure with a list link

Part of provider network D1-00037, ranked 37 nationally.

score 65 of 100, rank 1435, $44K at stake

Provider networks

D1-00037 ranked 37

76 providers around La Crescenta, CA: 24 hospices, 52 home health agencies.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ASPIRE HEALTHCARE SERVICES
Type	Organization
Status	Active
NPI issued	July 3, 2013, last updated April 18, 2023
Practice location	222 N MOUNTAIN AVE STE 201A, Upland, CA 91786-5714, 909-982-2465
Authorized official	HERCY VALENZUELA (Partner)
Specialties	Home Health (251E00000X, primary, license 28948 CA)

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
G0300	Direct skilled nursing by LPN in home health or hospice each 15 min	$33K	86%	$380	$133 (top 5% from $1K)	75th percentile
G0151	PT in home health or hospice setting each 15 min	$3K	7%	$204	$203 (top 5% from $565)	too few months to rank
G0299	Direct skilled nursing by RN in home health or hospice each 15 min	$3K	7%	$106	$151 (top 5% from $742)	too few months to rank

In this area

214 providers in San Bernardino County, CA carry an indicator in the public record, with $174.5M at stake between them. The most common is part of a provider network, on 110 of them, followed by more hours than a day holds on 98. 3 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	MAGALY VELASQUEZ Rancho Cucamonga, CA, ranked 18	$60K	Listed on the Medicare revocation list and a state attorney general release since July 19, 2024. Medicaid still paid claims in 4 later months, $59,903 in total. and 2 more
1	MAGALY M VELASQUEZ DDS PROFESSIONAL DENTAL CORP Rancho Cucamonga, CA, ranked 174	$60K	Listed on the Medicare revocation list since July 19, 2024. Medicaid still paid claims in 4 later months, $59,903 in total.
1	PAUL STANTON Apple Valley, CA, ranked 358	$2K	Listed on the CA Medicaid exclusion list since January 23, 2019. Medicaid still paid claims in 1 later month, $2,462 in total.
3	CALSTRO HOSPICE INC. Montclair, CA, ranked 949	$2.8M	Part of provider network D1-00023, ranked 23 nationally.
3	FLOWER HOME HEALTH INC. Rancho Cucamonga, CA, ranked 1002	$1.5M	Part of provider network D1-00007, ranked 7 nationally.
3	SUNCREST HOME HEALTH SERVICES, INC. Chino, CA, ranked 1066	$866K	Part of provider network D1-00039, ranked 39 nationally.
3	ACES HOME HEALTHCARE SERVICES, INC Montclair, CA, ranked 1142	$518K	Part of provider network D1-00042, ranked 42 nationally.
3	VANURA HOMEHEALTH SERVICES, INC. Rancho Cucamonga, CA, ranked 1154	$482K	Part of provider network D1-00092, ranked 92 nationally.

All 214 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

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Ask this case

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