Providers

SONORA COMMUNITY HOSPITAL

NPI 1801887401, organization, Sonora, CA, Skilled Nursing Facility

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00071, ranked 71 nationally.
score 60 of 100, rank 3082, $0 at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSONORA COMMUNITY HOSPITAL (also LONG TERM CARE)
TypeOrganization
StatusActive
NPI issuedNovember 2, 2005, last updated April 8, 2013
Practice location1000 GREENLEY RD, Sonora, CA 95370-5200, 209-536-3859
Mailing address14542 LOLLY LN, Sonora, CA 95370-9226
Authorized officialANDREW JAHN (Vice President for Finance)
Specialties
Skilled Nursing Facility (314000000X, primary)

In this area

11 providers in Tuolumne County, CA carry an indicator in the public record, with $4.2M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by part of a provider network on 2. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1ADULT MEDICINE SPECIALISTS, INC
Sonora, CA, ranked 369
$2K
  • Listed on the Medicare revocation list since July 25, 2018.
  • Medicaid still paid claims in 4 later months, $1,898 in total.
3WESTERN HEALTH RESOURCES
Sonora, CA, ranked 1436
$43K
  • Part of provider network D1-00071, ranked 71 nationally.
3WESTERN HEALTH RESOURCES
Sonora, CA, ranked 6493
$0
  • Part of provider network D1-00071, ranked 71 nationally.
4ROBERT REINA
Sonora, CA, ranked 7656
$2.2M
  • Hours beyond a day in 20 months, but with up to 542 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4HAKU KAHOANO
Jamestown, CA, ranked 8007
$264K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4RANDOLPH ROXAS
Tuolumne, CA, ranked 8015
$231K
  • Hours beyond a day in 1 month, but with up to 173 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
5RALPH RETHERFORD
Sonora, CA, ranked 10327
$359K
  • Medicaid dollars per patient on code 99214 ($450 per patient-month) sit in the top 5% of every provider billing that code.
5ALEJANDRO ABARCA
Sonora, CA, ranked 10373
$231K
  • Medicaid dollars per patient on code 90834 ($551 per patient-month) sit in the top 5% of every provider billing that code.
All 11 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.

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