Providers
All 64 in CA
AMERICAN RIVER HOME CARE
NPI 1811317811, organization, Sacramento, CA, Home Health
3
Evidence tier
network structure with a list link
- Part of provider network D1-00045, ranked 45 nationally.
- Medicaid dollars per patient on code G0155 ($216 per patient-month) sit in the top 5% of every provider billing that code.
score 70 of 100, rank 792, $797K at stake
Provider networks
D1-00045 ranked 4549 providers around Sacramento, CA: 9 hospices, 36 home health agencies, 4 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | AMERICAN RIVER HOME CARE |
| Type | Organization |
| Status | Active |
| NPI issued | April 17, 2014, last updated January 13, 2025 |
| Practice location | 1451 RIVER PARK DR, SUITE 244, Sacramento, CA 95815-4507, 916-209-4400 |
| Authorized official | PHILLIP MCMILLAN (Owner) |
| 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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| G0299 | Direct skilled nursing by RN in home health or hospice each 15 min | $2.7M | 64% | $643 | $151 (top 5% from $742) | 93rd percentile | |
| G0151 | PT in home health or hospice setting each 15 min | $925K | 22% | $383 | $203 (top 5% from $565) | 85th percentile | |
| G0152 | OT in home health or hospice setting each 15 min | $463K | 11% | $337 | $182 (top 5% from $529) | 82nd percentile | |
| G0155 | Clinical social worker in home health or hospice setting each 15 min | $121K | 3% | $216 | $0.00 (top 5% from $192) | 96th percentile | |
| 0551 | Medicaid service code | $21K | 1% | $630 | $0.00 (top 5% from $630) | too few months to rank | |
| G0156 | Home health or hospice aide each 15 min | $13K | 0% | $218 | $585 (top 5% from $4K) | too few months to rank | |
| Q5001 | Medicaid service code | $122 | 0% | $1.27 | $0.00 (top 5% from $3K) | 80th percentile |
In this area
64 providers in Sacramento County, CA carry an indicator in the public record, with $36.9M at stake between them. The most common is part of a provider network, on 39 of them, followed by more hours than a day holds on 25.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Sacramento, CA, ranked 802 | $431K |
|
| 3 | ACEPTIO HEALTH CARE SERVICES INC. Orangevale, CA, ranked 979 | $1.9M |
|
| 3 | PROHEALTH HOME CARE, INC Sacramento, CA, ranked 1062 | $876K |
|
| 3 | PRESTIGE HOME HEALTH SERVICES, INC. Elk Grove, CA, ranked 1140 | $520K |
|
| 3 | RX STAFFING AND HOME CARE, INC Sacramento, CA, ranked 1440 | $42K |
|
| 3 | A PLUS HEALTHCARE, LLC Fair Oaks, CA, ranked 1505 | $17K |
|
| 3 | RANCHO SECO CARE CENTER LLC Galt, CA, ranked 1916 | $0 |
|
| 3 | ASSURED HOME HEALTH SERVICES LLC Sacramento, CA, ranked 2170 | $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.