Providers
All 47 in CA
SKYLINE SAN JOSE OPERATING COMPANY, LP
NPI 1780972463, organization, San Jose, CA, Skilled Nursing Facility
3
Evidence tier
network structure with a list link
- Part of provider network D1-00092, ranked 92 nationally.
score 60 of 100, rank 3841, $0 at stake
Provider networks
D1-00092 ranked 9280 providers around Hayward, CA: 6 hospices, 11 home health agencies, 63 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SKYLINE SAN JOSE OPERATING COMPANY, LP (also SKYLINE HEALTHCARE CENTER - SAN JOSE) |
| Type | Organization |
| Status | Active |
| NPI issued | July 15, 2011, last updated October 22, 2014 |
| Practice location | 2065 FOREST AVE, San Jose, CA 95128-4807, 408-280-2500 |
| Authorized official | ANDREA SAAVEDRA (Regional Financial Analyst) |
| Specialties | Skilled Nursing Facility (314000000X, primary, license 070000110 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 | |
|---|---|---|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $156K | 52% | $225 | $76 (top 5% from $314) | 90th percentile | |
| 97530 | Therapy procedure using functional activities | $99K | 33% | $111 | $124 (top 5% from $387) | 46th percentile | |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $27K | 9% | $67 | $59 (top 5% from $187) | 58th percentile | |
| 97116 | Therapy procedure for walking training, each 15 minutes | $14K | 5% | $73 | $30 (top 5% from $180) | 82nd percentile | |
| 97535 | Training for self-care or home management, each 15 minutes | $4K | 1% | $23 | $48 (top 5% from $459) | 28th percentile | |
| 97162 | Evaluation for physical therapy, typically 30 minutes | $2K | 1% | $16 | $48 (top 5% from $145) | 12th percentile | |
| G8979 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $4.69) | too few months to rank | |
| 90756 | Influenza vaccine, quadrivalent derived from cell cultures | $0 | 0% | $0.00 | $17 (top 5% from $29) | too few months to rank |
In this area
47 providers in Santa Clara County, CA carry an indicator in the public record, with $42.6M at stake between them. The most common is part of a provider network, on 23 of them, followed by more hours than a day holds on 21. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JUAN E POSADA MD INCORPORATED San Jose, CA, ranked 371 | $2K |
|
| 1 | BRENDA VILLASENOR East Palo Alto, CA, ranked 385 | $1K |
|
| 3 | PROHEALTH HOME CARE, INC. San Jose, CA, ranked 1317 | $137K |
|
| 3 | SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Saratoga, CA, ranked 1464 | $30K |
|
| 3 | COMFORT HANDS HEALTHCARE INC San Jose, CA, ranked 1568 | $7K |
|
| 3 | GOLD STAR HOSPICE LLC Sunnyvale, CA, ranked 1848 | $0 |
|
| 3 | FIVE STAR HOME CARE LLC Sunnyvale, CA, ranked 1872 | $0 |
|
| 3 | HELENIUM HOME HEALTH INC San Jose, CA, ranked 2341 | $0 |
|
Recent enforcement in CA
All releasesDepartment 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.