Providers
MARSHALL MEDICAL CENTER
NPI 1992705040, organization, Diamond Springs, CA, Home Health
3
Evidence tier
network structure with a list link
- Part of provider network D1-00138, ranked 138 nationally.
score 65 of 100, rank 1381, $76K at stake
Provider networks
D1-00138 ranked 13824 providers around Fresno, CA: 1 hospice, 5 home health agencies, 18 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARSHALL MEDICAL CENTER (also MARSHALL HOME CARE) |
| Type | Organization |
| Status | Active |
| NPI issued | July 29, 2005, last updated November 25, 2025 |
| Practice location | 6425 CAPITOL AVE, Diamond Springs, CA 95619-9457, 530-626-2900 |
| Mailing address | 6425 CAPITOL AVE STE 120, Diamond Springs, CA 95619-9457 |
| Authorized official | Siri Nelson (Ceo) |
| Specialties | Home Health (251E00000X, primary, license 030000059 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 | |
|---|---|---|---|---|---|---|---|
| 0551 | Medicaid service code | $128K | 86% | $342 | $0.00 (top 5% from $630) | 90th percentile | |
| G0151 | PT in home health or hospice setting each 15 min | $18K | 12% | $240 | $203 (top 5% from $565) | too few months to rank | |
| G0154 | Medicaid service code | $4K | 3% | $80 | too few months to rank | ||
| Q5001 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $3K) | too few months to rank | |
| 0023 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $12) | too few months to rank | |
| G0299 | Direct skilled nursing by RN in home health or hospice each 15 min | $0 | 0% | $0.00 | $151 (top 5% from $742) | too few months to rank |
In this area
6 providers in El Dorado County, CA carry an indicator in the public record, with $3.1M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | SNOWLINE HOSPICE OF EL DORADO COUNTY Diamond Springs, CA, ranked 1384 | $75K |
|
| 3 | GEM HOME HEALTHCARE, INC. Placerville, CA, ranked 3175 | $0 |
|
| 3 | SACRAMENTO RIVER HEALTHCARE LLC EL Dorado Hills, CA, ranked 7090 | $0 |
|
| 4 | WAYNE DANIEL Placerville, CA, ranked 7648 | $2.3M |
|
| 5 | CATHERINE MOIZEAU Placerville, CA, ranked 11178 | $560K | |
| 5 | VERONICA VELASQUEZ-MORFIN Placerville, CA, ranked 11501 | $170K |
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.