GRANDCARE SAN DIEGO, LLC

NPI 1811395353, organization, San Diego, CA, Home Health

Evidence tier

network structure with a list link

Part of provider network D1-00043, ranked 43 nationally.
Medicaid dollars per patient on code G0157 ($473 per patient-month) sit in the top 5% of every provider billing that code.

score 68 of 100, rank 840, $17K at stake

Provider networks

D1-00043 ranked 43

128 providers around Los Angeles, CA: 12 hospices, 18 home health agencies, 98 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	GRANDCARE SAN DIEGO, LLC (also GRANDCARE SAN DIEGO LLC)
Type	Organization
Status	Active
NPI issued	December 16, 2014, last updated September 2, 2025
Practice location	2535 CAMINO DEL RIO S STE 120, San Diego, CA 92108-3764, 619-220-6980
Mailing address	3452 E FOOTHILL BLVD STE 130, Pasadena, CA 91107-6006
Authorized official	David Bell (Ceo)
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
G0157	PT assistant in home health or hospice setting each 15 min	$366K	34%	$473	$0.00 (top 5% from $388)	98th percentile
G0151	PT in home health or hospice setting each 15 min	$335K	31%	$267	$203 (top 5% from $565)	66th percentile
G0299	Direct skilled nursing by RN in home health or hospice each 15 min	$267K	25%	$341	$151 (top 5% from $742)	78th percentile
G0300	Direct skilled nursing by LPN in home health or hospice each 15 min	$75K	7%	$518	$133 (top 5% from $1K)	82nd percentile
G0152	OT in home health or hospice setting each 15 min	$32K	3%	$268	$182 (top 5% from $529)	71st percentile

In this area

141 providers in San Diego County, CA carry an indicator in the public record, with $221.8M at stake between them. The most common is more hours than a day holds, on 83 of them, followed by part of a provider network on 42. 12 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	BRENTON WYNN National City, CA, ranked 19	$52K	Listed on the CA Medicaid exclusion list and the Medicare revocation list since May 23, 2022. Medicaid still paid claims in 6 later months, $51,770 in total. and 1 more
1	MICHAEL I KELLER M.D. INC San Diego, CA, ranked 124	$141K	Listed on the CA Medicaid exclusion list since December 10, 2020. Medicaid still paid claims in 18 later months, $141,240 in total.
1	BRENTON D. WYNN, MD INC National City, CA, ranked 135	$125K	Listed on the CA Medicaid exclusion list since May 23, 2022. Medicaid still paid claims in 27 later months, $125,367 in total.
1	BRUCE BAKER Poway, CA, ranked 144	$107K	Listed on the CA Medicaid exclusion list since July 13, 2020. Medicaid still paid claims in 3 later months, $106,617 in total.
1	KYUNG BOEN San Marcos, CA, ranked 191	$50K	Listed on the WA Medicaid exclusion list since April 7, 2017. Medicaid still paid claims in 16 later months, $50,384 in total.
1	ROOZBEH BADII San Diego, CA, ranked 199	$45K	Listed on the OIG exclusion list and the NY Medicaid exclusion list and the CA Medicaid exclusion list since February 15, 2018. Medicaid still paid claims in 15 later months, $44,839 in total.
1	CHIVANO CHHIENG San Diego, CA, ranked 231	$24K	Listed on the CA Medicaid exclusion list since July 14, 2020. Medicaid still paid claims in 12 later months, $23,669 in total.
1	JOHN QIAN San Diego, CA, ranked 232	$23K	Listed on the CA Medicaid exclusion list since February 11, 2022. Medicaid still paid claims in 5 later months, $23,392 in total. and 3 more

All 141 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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