Providers
All 399 in CA
BRIGHTON CONVALESCENT, LLC
NPI 1912248972, organization, Pasadena, CA, Skilled Nursing Facility
3
Evidence tier
network structure with a list link
- Part of provider network D1-00041, ranked 41 nationally.
- Medicaid dollars per patient on code 97110 ($535 per patient-month) sit in the top 5% of every provider billing that code.
score 64 of 100, rank 1549, $0 at stake
Provider networks
D1-00041 ranked 4177 providers around Riverside, CA: 10 hospices, 29 home health agencies, 38 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BRIGHTON CONVALESCENT, LLC (also BRIGHTON CONVALESCENT CENTER) |
| Type | Organization |
| Status | Active |
| NPI issued | March 14, 2013, last updated January 15, 2014 |
| Practice location | 1836 N FAIR OAKS AVE, Pasadena, CA 91103-1619, 626-512-2595 |
| Authorized official | CIPRIANO BAUTISTA (Member) |
| Specialties | Skilled Nursing Facility (314000000X, primary, license 970000194 CA) |
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 | |
|---|---|---|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $109K | 43% | $535 | $76 (top 5% from $314) | 99th percentile | |
| 97530 | Therapy procedure using functional activities | $52K | 20% | $281 | $124 (top 5% from $387) | 84th percentile | |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $44K | 17% | $216 | $59 (top 5% from $187) | 96th percentile | |
| 97535 | Training for self-care or home management, each 15 minutes | $28K | 11% | $209 | $48 (top 5% from $459) | 80th percentile | |
| 97116 | Therapy procedure for walking training, each 15 minutes | $22K | 8% | $230 | $30 (top 5% from $180) | too few months to rank | |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | $346 | 0% | $23 | $36 (top 5% from $102) | too few months to rank | |
| 97162 | Evaluation for physical therapy, typically 30 minutes | $332 | 0% | $22 | $48 (top 5% from $145) | too few months to rank | |
| 97168 | Re-evaluation for occupational therapy, typically 30 minutes | $328 | 0% | $25 | $43 (top 5% from $127) | too few months to rank |
In this area
399 providers in Los Angeles County, CA carry an indicator in the public record, with $129.6M at stake between them. The most common is part of a provider network, on 346 of them, followed by paid after a public list action on 37. 53 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | BURBANK PREFERRED PROVIDER MEDICAL GROUP, INC Burbank, CA, ranked 17 | $67K |
|
| 1 | GOLDEN STAR LABS LLC Los Angeles, CA, ranked 32 | $41.0M |
|
| 1 | MATIAS CLINICAL LABORATORY INC Baldwin Park, CA, ranked 43 | $3.8M |
|
| 1 | HEALTHSMART PACIFIC INC Long Beach, CA, ranked 52 | $1.6M |
|
| 1 | LINDA WARREN-WATSON Lancaster, CA, ranked 71 | $828K |
|
| 1 | SOHRAB MOSHIRI Woodland Hills, CA, ranked 82 | $483K |
|
| 1 | QUALITY FAMILY HOSPICE CARE INC Tarzana, CA, ranked 92 | $375K |
|
| 1 | MARATHON HOSPICE CARE INC. North Hollywood, CA, ranked 95 | $368K |
|
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.