SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

NPI 1912931809, organization, San Mateo, CA, Hospice Care, Community Based

Evidence tier

network structure with a list link

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

score 64 of 100, rank 1570, $7K 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	July 10, 2006, last updated August 11, 2025
Practice location	1670 S AMPHLETT BLVD STE 300B, San Mateo, CA 94402-2510, 650-685-2830
Mailing address	5099 COMMERCIAL CIR STE 208, Concord, CA 94520-1374
Authorized official	Mark Mcpherson (Ceo)
Specialties	Hospice Care, Community Based (251G00000X, 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
Q5001	Medicaid service code	$7K	100%	$48	$0.00 (top 5% from $3K)	86th percentile

In this area

16 providers in San Mateo County, CA carry an indicator in the public record, with $13.5M 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.

tier	provider	at stake	why
3	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE San Mateo, CA, ranked 1426	$50K	Part of provider network D1-00071, ranked 71 nationally.
3	ST JOHNS VOLUNTEERS San Mateo, CA, ranked 2801	$0	Part of provider network D1-00092, ranked 92 nationally.
3	PACIFICA LINDA MAR INC. Pacifica, CA, ranked 2802	$0	Part of provider network D1-00041, ranked 41 nationally.
3	SAN BRUNOIDENCE OPCO, LLC San Bruno, CA, ranked 4019	$0	Part of provider network D1-00092, ranked 92 nationally.
3	PEAR HOLDINGS, LLC Burlingame, CA, ranked 4103	$0	Part of provider network D1-00043, ranked 43 nationally.
3	MUSSEL ROCK HEALTHCARE, INC. Pacifica, CA, ranked 4126	$0	Part of provider network D1-00041, ranked 41 nationally.
3	MILLBRAE CARE CENTER LLC Millbrae, CA, ranked 5544	$0	Part of provider network D1-00043, ranked 43 nationally.
3	CAREMO 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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