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Critical
OpenScore 290

AHS HOSPITAL CORP

Doing business as ATLANTIC VISITING NURSE

465 SOUTH ST, STE 100, MORRISTOWN, NJ, 079606447

Claims run 10 days. Verified identity required.

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Why this was flagged

Critical
Billing far above peers

Medicare paid this provider far more than its peers

In 2024 Medicare paid this provider $32,084,063, against a typical payment of $899,466 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.

Source Medicare Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 31bbc0

Moderate
Shared address

2 providers share this street address

This address is the registered location of 2 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 Home Health Agency Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a

Other providers at this street address (1)

AHS HOSPITAL CORP

STE 100 · Incorporated May 1, 1996

View lead

Owners and managing parties of record

MARY PRADILLA

CORPORATE DIRECTOR · I · 100% ownership · since Jun 30, 2011

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

EILEEN MORAN

W-2 MANAGING EMPLOYEE · I · 100% ownership · since Dec 31, 2011

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

JOSEPH MICHAEL WALTER

CORPORATE OFFICER · I · 100% ownership · since Sep 1, 2022

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

Source timeline

Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.

CMS Home Health Agency Enrollments

1 flag
  • 2 providers share this street address

Weekly refreshes

  • 18 Sept 2026 (in use)11,494 records11,494 added · 0 changed · 0 removedpublisher data as of 27 Jul 2026
  • 18 Sept 20261,000 records1,000 added · 0 changed · 0 removedpublisher data as of 27 Jul 2026(running)

Records read from this file

  • AHS HOSPITAL CORPNPI 1962479667 · certification 317054 · 465 SOUTH ST, MORRISTOWN, NJ
  • AHS HOSPITAL CORPsame street address in the same file

Medicare Home Health Payments by Provider

1 flag
  • Medicare paid this provider far more than its peers

Weekly refreshes

  • 18 Sept 2026 (in use)8,609 recordspublisher data as of 11 Aug 2026

Records read from this file

CMS Home Health Agency All Owners

background detail only

Weekly refreshes

  • 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026

Records read from this file

Where every detail came from

Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameAHS HOSPITAL CORPCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Trading nameATLANTIC VISITING NURSECMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
NPI1962479667CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Medicare certification number317054CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
CMS associate ID0648189134CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Provider typePART A PROVIDER - HOME HEALTH AGENCYCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Organisation typeCORPORATIONCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Incorporation date1996-05-01CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
State of incorporationNJCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Street address465 SOUTH ST, STE 100CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
CityMORRISTOWNCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
StateNJCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
ZIP079606447CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a

What changed

How this provider's public record has moved between weekly refreshes. See the whole week.

Nothing has changed for this provider since we started comparing weekly refreshes.

Public research history

Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.

Community notes

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