Providers screened
930
High-severity flags
19
Flagged Medicare dollars
$174,392,004
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 cluster21
- Extreme per-patient billing18
- Shared address18
- New-entity cluster10
- Billing far above peers9
- Suite stacking3
- Excluded owner1
Flags in public data over time
Massachusetts 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
37
High severity
19
Excluded-owner links
1
Billing outliers
27
Shared addresses
18
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Skilled nursing facility13
- Home health agency12
- Hospital8
- Hospice4
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
21 providersThe same person or company owns or manages several Medicare providers.
Extreme per-patient billing
18 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
Shared address
18 providersSeveral different Medicare providers are enrolled at the exact same street address.
New-entity cluster
10 providersMultiple providers at this address were incorporated very recently, around the same time.
Billing far above peers
9 providersThis provider's Medicare payments are far higher than typical for its provider type and state.
Suite stacking
3 providersMany providers list different suite or unit numbers at the same building, making it look like separate offices.
Excluded owner
1 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.
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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