SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

NPI 1871734244, organization, Lakeport, CA, Home Health

Evidence tier

network structure with a list link

Part of provider network D1-00071, ranked 71 nationally.

score 60 of 100, rank 2762, $0 at stake

Provider networks

D1-00071 ranked 71

74 providers around Yuba City, CA: 21 hospices, 47 home health agencies, 6 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE (also SUTTER CARE AT HOME)
Type	Organization
Status	Active
NPI issued	March 16, 2009, last updated February 8, 2024
Practice location	5196 HILL RD E STE 204, Lakeport, CA 95453-6362, 707-263-7400
Mailing address	4830 BUSINESS CENTER DR, STE 140, Fairfield, CA 94534-1797
Authorized official	Mark 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

code	what it is	paid	share	per patient-month	typical	rank among providers
G0300	Direct skilled nursing by LPN in home health or hospice each 15 min	$153K	97%	$474	$133 (top 5% from $1K)	79th percentile
G0151	PT in home health or hospice setting each 15 min	$5K	3%	$367	$203 (top 5% from $565)	too few months to rank

In this area

4 providers in Lake County, CA carry an indicator in the public record, with $45K at stake between them. The most common is part of a provider network, on 3 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	DAVID BETAT Lakeport, CA, ranked 451	$63	Listed on the CA Medicaid exclusion list since May 11, 2022. Medicaid still paid claims in 4 later months, $63 in total.
3	VINDRA INC Clearlake, CA, ranked 824	$45K	Part of provider network D1-00087, ranked 87 nationally. Medicaid dollars per patient on code 99304 ($477 per patient-month) sit in the top 5% of every provider billing that code.
3	WINDFLOWER HOLDINGS, LLC Lakeport, CA, ranked 3715	$0	Part of provider network D1-00041, ranked 41 nationally.
3	WESTERN HEALTH RESOURCES Lower Lake, CA, ranked 5279	$0	Part of provider network D1-00071, ranked 71 nationally.

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

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.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.