Providers screened
958
High-severity flags
7
Flagged Medicare dollars
$152,809,156
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
- Owner cluster30
- Shared address26
- Extreme per-patient billing14
- Excluded owner6
- Billing far above peers4
- New-entity cluster3
Flags in public data over time
Minnesota 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
39
High severity
7
Excluded-owner links
6
Billing outliers
18
Shared addresses
26
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Home health agency15
- Hospice14
- Skilled nursing facility7
- Hospital2
- Rural health clinic1
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
Owner cluster
30 providersThe same person or company owns or manages several Medicare providers.
Shared address
26 providersSeveral different Medicare providers are enrolled at the exact same street address.
Extreme per-patient billing
14 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
Excluded owner
6 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
4 providersThis provider's Medicare payments are far higher than typical for its provider type and state.
New-entity cluster
3 providersMultiple providers at this address were incorporated very recently, around the same time.
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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