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Elevated
OpenScore 130

LEXINGTON HEALTHCARE LLC

Doing business as ALLIS CARE CENTER

Flagged provider address

9047 W GREENFIELD AVE, WEST ALLIS, WI, 53214-2808

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2021 this provider was paid $29,698 per patient, against a typical $14,859 for the same kind of provider in WI. 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 nameLEXINGTON HEALTHCARE LLCCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
Trading nameALLIS CARE CENTERCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
NPI1598750671CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
Medicare certification number525108CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
CMS associate ID9234194572CMS 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
Street address9047 W GREENFIELD AVECMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
CityWEST ALLISCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
StateWICMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836
ZIP53214-2808CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Oct 19, 20262026-10-19 · 131836

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