Providers

SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

NPI 1972876506, organization, Salida, CA, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00071, ranked 71 nationally.
  • Medicaid dollars per patient on code G0151 ($1035 per patient-month) sit in the top 5% of every provider billing that code.
score 70 of 100, rank 782, $1.8M 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 issuedFebruary 13, 2012, last updated July 9, 2026
Practice location5222 PIRRONE CT STE 200, Salida, CA 95368-9072, 209-571-1055
Mailing address5099 COMMERCIAL CIR STE 208, Concord, CA 94520-1374
Authorized officialPatrick Brown (Cfo)
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
G0299Direct skilled nursing by RN in home health or hospice each 15 min$4.7M73%$1K$151 (top 5% from $742)98th percentile
G0151PT in home health or hospice setting each 15 min$1.5M24%$820$203 (top 5% from $565)98th percentile
G0152OT in home health or hospice setting each 15 min$207K3%$609$182 (top 5% from $529)97th percentile
A6402Medicaid service code$2K0%$18$9.57 (top 5% from $25)86th percentile
A4649Medicaid service code$2K0%$9.32$3.43 (top 5% from $193)63rd percentile

In this area

38 providers in Stanislaus County, CA carry an indicator in the public record, with $33.2M at stake between them. The most common is more hours than a day holds, on 23 of them, followed by part of a provider network on 13. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1JAMES YIP
Modesto, CA, ranked 237
$23K
  • Listed on the CA Medicaid exclusion list since February 12, 2021.
  • Medicaid still paid claims in 1 later month, $22,621 in total.
1JEROME ROBSON
Modesto, CA, ranked 298
$8K
  • Listed on the CA Medicaid exclusion list since September 17, 2019.
  • Medicaid still paid claims in 5 later months, $8,371 in total.
3COVENANT HOME SERVICES
Turlock, CA, ranked 1260
$246K
  • Part of provider network D1-00075, ranked 75 nationally.
3GLOBAL HEALTH CARE SERVICES LLC
Modesto, CA, ranked 1361
$94K
  • Part of provider network D1-00098, ranked 98 nationally.
3VISTA DEL SOL POSTACUTE CARE
Ceres, CA, ranked 1952
$0
  • Part of provider network D1-00138, ranked 138 nationally.
3COVENANT HOME SERVICES
Turlock, CA, ranked 2873
$0
  • Part of provider network D1-00075, ranked 75 nationally.
3TRACY RIDGE HEALTHCARE, INC.
Turlock, CA, ranked 3808
$0
  • Part of provider network D1-00041, ranked 41 nationally.
3AVALON CARE CENTER-NEWMAN LLC
Newman, CA, ranked 3839
$0
  • Part of provider network D1-00104, ranked 104 nationally.
All 38 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.

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