Providers screened
914
High-severity flags
3
Flagged Medicare dollars
$25,535,310
Payments from the latest regional snapshot, not a fraud or loss estimate. Payment records do not cover every provider. Lead, not proof.
Top flag types
- Shared address24
- Owner cluster19
- Suite stacking19
- Extreme per-patient billing15
- New-entity cluster2
- Excluded owner1
- Billing far above peers1
Flags in public data over time
Colorado providers with any flag and with high-severity flags, from saved refresh snapshots. Each provider is counted once per series. Lead, not proof.
Only saved dates are shown; missing weeks are not counted as zero. Changes can reflect source coverage or rule updates, not changes in wrongdoing.
How to report to OIG
Check the source records and document supported concerns before reporting to the HHS Office of Inspector General. A flag alone is not evidence of wrongdoing. Lead, not proof.
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Total leads
36
High severity
3
Excluded-owner links
1
Billing outliers
16
Shared addresses
24
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Home health agency20
- Hospice8
- Skilled nursing facility8
Provider public records
These are flags in public data, not findings of wrongdoing. Lead, not proof. Most providers bill honestly.
Ranked by pattern score. Each row is a starting point for research.
What the patterns mean
Shared address
24 providersSeveral different Medicare providers are enrolled at the exact same street address.
Owner cluster
19 providersThe same person or company owns or manages several Medicare providers.
Suite stacking
19 providersMany providers list different suite or unit numbers at the same building, making it look like separate offices.
Extreme per-patient billing
15 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
New-entity cluster
2 providersMultiple providers at this address were incorporated very recently, around the same time.
Excluded owner
1 providersAn owner or managing person matches the federal exclusion list — the HHS Office of Inspector General's list of people and companies banned from billing Medicare and Medicaid.
Billing far above peers
1 providersThis provider's Medicare payments are far higher than typical for its provider type and state.
Method and sources
Counts come from the live FraudFinder Watchlist, built from CMS Medicare enrollment, ownership and payment files and the HHS OIG exclusion list (LEIE). Every published lead passes automated cross-checks against the source files, and the data is re-pulled every Monday.
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