Providers

SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

NPI 1821027624, organization, San Mateo, CA, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00071, ranked 71 nationally.
score 65 of 100, rank 1426, $50K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSUTTER VISITING NURSE ASSOCIATION AND HOSPICE (also SUTTER CARE AT HOME)
TypeOrganization
StatusActive
NPI issuedJuly 2, 2006, last updated August 11, 2025
Practice location1670 S AMPHLETT BLVD STE 300A, San Mateo, CA 94402-2510, 650-685-2800
Mailing address5099 COMMERCIAL CIR STE 208, Concord, CA 94520-1374
Authorized officialMark Mcpherson (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
codewhat it ispaidshareper patient-monthtypicalrank among providers
G0151PT in home health or hospice setting each 15 min$4K100%$111$203 (top 5% from $565)too few months to rank
Q5001Medicaid service code$00%$0.00$0.00 (top 5% from $3K)0th percentile

In this area

16 providers in San Mateo County, CA carry an indicator in the public record, with $13.4M at stake between them. The most common is part of a provider network, on 10 of them, followed by more hours than a day holds on 5.

tierproviderat stakewhy
3SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
San Mateo, CA, ranked 1570
$7K
  • Part of provider network D1-00071, ranked 71 nationally.
3ST JOHNS VOLUNTEERS
San Mateo, CA, ranked 2801
$0
  • Part of provider network D1-00092, ranked 92 nationally.
3PACIFICA LINDA MAR INC.
Pacifica, CA, ranked 2802
$0
  • Part of provider network D1-00041, ranked 41 nationally.
3SAN BRUNOIDENCE OPCO, LLC
San Bruno, CA, ranked 4019
$0
  • Part of provider network D1-00092, ranked 92 nationally.
3PEAR HOLDINGS, LLC
Burlingame, CA, ranked 4103
$0
  • Part of provider network D1-00043, ranked 43 nationally.
3MUSSEL ROCK HEALTHCARE, INC.
Pacifica, CA, ranked 4126
$0
  • Part of provider network D1-00041, ranked 41 nationally.
3MILLBRAE CARE CENTER LLC
Millbrae, CA, ranked 5544
$0
  • Part of provider network D1-00043, ranked 43 nationally.
3CAREMO PLUS LLC
San Mateo, CA, ranked 5655
$0
  • Part of provider network D1-00071, ranked 71 nationally.
All 16 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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