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Elevated
OpenScore 130

BIRMINGHAM NURSING AND REHABILITATION CENTER, LLC

Flagged provider address

1000 DUGAN AVE, BIRMINGHAM, AL, 35214-4326

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2023 this provider was paid $20,668 per patient, against a typical $11,273 for the same kind of provider in AL. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.

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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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 Skilled Nursing Facility Enrollments · record as of 17 Aug 2026 · pulled 19 Oct 2026 · version 2026-10-19 · 131836

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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.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameBIRMINGHAM NURSING AND REHABILITATION CENTER, LLCCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
NPI1508939745CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
Medicare certification number015217CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
CMS associate ID2365352465CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
Provider typePART A PROVIDER - SKILLED NURSING FACILITYCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
Organisation typeLLCCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
Incorporation date2003-05-07CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
State of incorporationALCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
Street address1000 DUGAN AVECMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
CityBIRMINGHAMCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
StateALCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
ZIP35214-4326CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836

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