Why this was flagged
Medicare paid this provider far more than its peers
In 2024 Medicare paid this provider $12,510,021, against a typical payment of $1,072,042 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.
Source Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5
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Owner is tied to 56 providers
An owner or managing party of this provider (THE GAIL MILLER GST TRUST) is listed on 56 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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3 providers share this street address
This address is the registered location of 3 separate Medicare-enrolled providers. Legitimate causes exist (shared medical office buildings, management companies), but dense clustering of billing entities at one address is a known fraud pattern.
Source CMS Skilled Nursing Facility Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · e83b3d
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Owners and managing parties of record
ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 31, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
NEW AHC HOLDINGS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 31, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
THE GAIL MILLER GST TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 70% ownership · since Dec 31, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
KAREN GAIL MILLER IRREV TR FBO ZANE MILLER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 31, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 31, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 31, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 31, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
THE MILLER UTAH TRUST, DATED AUGUST 22, 2019
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 31, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
THE RNC OPPORTUNITY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 31, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
ASHKAN JAVAHERI
CONTRACTED MANAGING EMPLOYEE · I · since Jan 1, 2022
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
JONATHAN WALKER
W-2 MANAGING EMPLOYEE · I · since Jan 2, 2018
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
NATHAN C OXNAM
CORPORATE OFFICER · I · since Jan 1, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Source timeline
Corrections and disputes
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Source records
Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | AHC HEALTHCARE OF SACRAMENTO LLC | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Trading name | ADVANCED HEALTH CARE OF SACRAMENTO | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| NPI | 1114439262 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Medicare certification number | 555913 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| CMS associate ID | 5294095113 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Organisation type | LLC | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Incorporation date | 2020-12-09 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| State of incorporation | CA | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Street address | 1411 EXPO PKWY | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| City | SACRAMENTO | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| State | CA | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| ZIP | 95815-4230 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
What changed
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